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

Shantell Kargbeh, PA

Individual provider Physician Assistant · NPI 1750157616

Shantell Kargbeh, PA is a Physician Assistant in Ithaca, New York. Qualified in 2024, 2 years ago. Practices with Comprehensive Primary Care and Associates LLC, a 165-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

215 E State St
Ithaca, NY 14850-5547
Phone: (302) 670-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750157616
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address215 E State St, Ithaca, NY 14850-5547

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Comprehensive Primary Care And Associates Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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