Syed Fawad Hussain Shah · Neurology Physician

111 Hospital Dr, Utica, NY 13502-2517

Overview

Syed Fawad Hussain Shah is a Neurology Physician practicing in Syracuse, New York. The National Provider Identifier (NPI) is #1255863627, which was assigned on April 3, 2017, and the registration record was last updated on February 26, 2026. The practitioner's main practice location is at 301 Prospect Ave, Syracuse, NY 13203-1807; the contact telephone number is 3154485111. The primary taxonomy of Syed Fawad Hussain Shah is Neurology Physician (2084N0400X), with specialization in Neurology. Syed Fawad Hussain Shah is licensed to practice in the state of New York (#311034).

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider Information

NPI 1255863627
Entity Type Individual
Provider Name SYED FAWAD HUSSAIN SHAH
Gender Male
Credential MD
Practice Address 301 Prospect Ave
Syracuse
NY 13203-1807
Practice Telephone 3154485111
Mailing Address 111 Hospital Dr
Utica
NY 13502-2517
Mailing Telephone 3156246100
Mailing Fax Number 3158018391
Certification Date 2026-02-26
Enumeration Date 2017-04-03
Last Update Date 2026-02-26
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4789921305
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SYED FAWAD HUSSAIN SHAH
Primary Specialty NEUROLOGY
Organization Legal Name ST JOSEPHS MEDICAL PC
Address 301 Prospect Ave
Syracuse
NY 13203-1807

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2084N0400XPsychiatry & NeurologyNeurology311034NY
N390200000XStudent in an Organized Health Care Education/Training Program

Secondary Practice Locations

AddressTelephoneFax
111 Hospital Dr, Utica, NY 13502251731591799663152343998

Taxonomy Information

Primary Taxonomy

Code 2084N0400X
Taxonomy Neurology Physician
Classification Psychiatry & Neurology
Specialization Neurology
Grouping Allopathic & Osteopathic Physicians
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jensen May 988435 Nebraska Medical Ctr, Omaha, NE 68198-8435Neurology Physician2026-06-06
Summaiyya Waseem 220 Cherry St Se, Grand Rapids, MI 49503Neurology Physician2026-06-05
Ahmedyar Hasan 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036Neurology Physician2026-05-22
Sienna Lilian Wu 1620 W Harrison St, Chicago, IL 60612-3801Neurology Physician2026-05-27
Rachel Anne Pfannes 220 Cherry St Se, Grand Rapids, MI 49503-4608Neurology Physician2026-05-26
Karan Sharma 1469 Laney Walker Blvd, Augusta, GA 30912-0002Neurology Physician2026-06-05
Grant Nelson Badger 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001Neurology Physician2026-06-04
Sharon Pasali Amalraj 28595 Orchard Lake Rd Ste 200, Farmington Hills, MI 48334-2979Neurology Physician2026-05-28
Ela Neurology & Advanced Headache Center PLLC 8219 Leesburg Pike Ste 201, Vienna, VA 22182-2625Neurology Physician2026-05-27
Nathan Andrew Nazareno 1 Hospital Dr, Columbia, MO 65212-1000Neurology Physician2026-06-05
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Location Information

Street Address 111 HOSPITAL DR
City UTICA
State NY
Zip Code 13502-2517
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Dannica Hennings 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-06
Alexander Ian Vroman 111 Hospital Dr, Utica, NY 13502-2517Critical Care Medicine Registered Nurse2026-04-28
Hanwen Zhang 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-06
Deanna Lewis 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-20
Rocheny Noziere 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-03-31
Adil Bilal 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-15
Azman Rashid 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-22
Akash Nadella 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-13
Hannah Arney 111 Hospital Dr, Utica, NY 13502-2517Critical Care Medicine Registered Nurse2026-04-03
Sarah Alnaher 111 Hospital Dr, Utica, NY 13502-2517Student in an Organized Health Care Education/Training Program2026-04-06
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Natalie Anne Pavelock 116 Business Park Drive, 1st Floor, Utica, NY 13502Gastroenterology Physician2012-05-09
Mary Ann Stockhauser 917 Newport Rd, Utica, NY 13502Registered Dietitian2019-10-16
Robert J. Bryla 1912 Sunset Ave., Utica, NY 13502Physical Therapist2011-10-25
Ruth Anne Duckworth 1400 Noyes Street, Utica, NY 13502Clinical Social Worker2018-04-26
Megan Tyler 118 Business Park Drive, Utica Businss Park, Utica, NY 13502Registered Dietitian2015-06-04
Jeff Rohacek 1213 Court St., Suite 100, Utica, NY 13502Addiction (Substance Use Disorder) Counselor2017-11-16
Bj's Wholesale Club Inc. 400 River Road, Utica, NY 13502Eyewear Supplier2020-09-25
Delana Marie Clive 287 N Genesee St Ste 202, Utica, NY 13502Social Worker2023-02-23
Melissa M Maldonado-Jardieu Utica City School District, 929 York St., Utica, NY 13502Clinical Social Worker2022-01-17
Ejub Bojadzija 710 Horatio Street, Utica, NY 13502Pharmacist2013-07-15
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.