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

Dr. Divya Shah, MD

Individual provider Internal Medicine Physician · NPI 1558980045

Dr. Divya Shah, MD is an Internal Medicine in New York, New York. Qualified in 2020, 6 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17 E 102nd St
New York, NY 10029-5204
Phone: (212) 659-8551
Fax: (212) 831-8116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Nyu Langone Medical Center, New York, NY 10016 — (212) 263-5506
  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 659-8551

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 323306 (NY)

Record details

NPI number1558980045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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