Keyur Suryakant Shah (NPI# 1366643157, PAC ID# 3678639135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366643157 |
| PAC ID by PECOS | 3678639135 |
| Professional Enrollment ID | I20101112000017 |
| Full Name | Keyur Suryakant Shah |
| Organization Legal Name | GREAT LAKES MEDICAL IMAGING LLC |
| Address |
199 Park Club Ln Suite 300 Williamsville NY 14221-5269 |
| Phone Number | 7168364646 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163681859 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330219 | ERIE COUNTY MEDICAL CENTER |
| 330005 | KALEIDA HEALTH |
| 330078 | SISTERS OF CHARITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 High St, Buffalo, NY 14203-1126 | 7168592954 | WESTERN NY RADIOLOGY ASSOCIATES LLC |
| 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 | 7168364646 | GREAT LAKES MEDICAL IMAGING LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 72% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 72% |
| Organization Legal Name | GREAT LAKES MEDICAL IMAGING LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Baum | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Gregory S Shields | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| James J Rinaldi | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Roseanne Oliverio | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Thomas Bevilacqua | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Douglas S Drumsta | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| John R Mcgrath | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Michael F Tabone | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Kenneth D Pearsen | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 3850 Saunders Settlement Rd, Sanborn, NY 14132-9128 |
| Omar Z Chohan | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Street Address |
199 PARK CLUB LN SUITE 300 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip | 14221-5269 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Baum | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Roseanne Oliverio | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Douglas S Drumsta | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| John R Mcgrath | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Michael F Tabone | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Bhuvaneswari Ramkumar | Internal Medicine | Rpci Oncology, PC | 199 Park Club Ln, Suite 200, Williamsville, NY 14221-5269 |
| Omar Z Chohan | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Frederick Hong | Hematology/oncology | Rpci Oncology, PC | 199 Park Club Ln, Suite 200, Williamsville, NY 14221-5269 |
| Christopher J Nicholas | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Thomas A Lostracco | Diagnostic Radiology | Great Lakes Medical Imaging LLC | 199 Park Club Ln, Suite 300, Williamsville, NY 14221-5269 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Romanth Md Waghmarae | Pain Management | Romanth Waghmarae Mb Bch PC | 1360 N Forest Rd, Suite 115, Williamsville, NY 14221-1200 |
| Millicent M Thomas-hall | Nurse Practitioner | Romanth Waghmarae Mb Bch PC | 1360 N Forest Rd, Suite 115, Williamsville, NY 14221-1200 |
| Jason A Santiago | Physician Assistant | Integrative Pain and Wellness Associates LLC | 1360 N Forest Rd, Suite 115, Williamsville, NY 14221-1200 |
| Pamela L Stevens | Family Medicine | 1360 N Forest Rd, Suite 5, Williamsville, NY 14221-1200 | |
| Rebecca E Sorley Mastrodomenico | Obstetrics/gynecology | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Ellen Sterman | Obstetrics/gynecology | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Karen Snell-garus | Obstetrics/gynecology | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Maria Corigliano | Obstetrics/gynecology | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Kristen H Hollasch Anastasi | Nurse Practitioner | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Robin S Hoebel | Obstetrics/gynecology | Audubon Women's Medical Associates, PC | 2240 N Forest Rd, Williamsville, NY 14221-1357 |
| Find all physicians in zip 14221 | |||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WILLIAMSVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Keyur Suryakant Shah.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.