Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallas Broadway, MD

Individual provider Ambulatory Surgical Clinic/Center · NPI 1366646416

Dallas Broadway, MD is an Interventional Radiology in New York, New York. Qualified in 2005, 21 years ago. Practices with Shi Specialists LLC, a 48-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Texas.

Years since qualifying
21
Licensed in
NJ, NY, TX
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

622 W 168th St New York Ny 10032
New York, NY 10032
Phone: (877) 426-5637
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 249640 (NY)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 25MA09187400 (NJ)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X · Licence 249640 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence P8223 (TX)

Record details

NPI number1366646416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Shi Specialists Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New York