RASHID GIRSHAB MD
NPI 1497014674
Student in an Organized Health Care Education/Training Program in Utica, NY


Quality Rating: 100 out of 100 score

NPI Status: Active since May 09, 2012

Contact Information

120 HOBART ST
UTICA, NY
ZIP 13501
Phone: (315) 798-1149
Fax: (315) 734-3565

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  • Individual
  • Male
  • Years of Experience 11
  • Student in an Organized Health Care Educ...
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RASHID GIRSHAB

This page provides the complete NPI Profile along with additional information for Rashid Girshab, a primary care provider established in Utica, New York with a medical specialization in Student In An Organized Health Care Education/training Program and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1497014674 assigned on May 2012. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1497014674
Provider Name
RASHID GIRSHAB MD
Gender
Male
Entity Type
Individual
Location Address
120 HOBART ST UTICA, NY 13501
Location Phone
(315) 798-1149
Location Fax
(315) 734-3565
Mailing Address
120 HOBART ST UTICA, NY 13501
Mailing Phone
(315) 798-1149
Mailing Fax
(315) 734-3565
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
05-09-2012
Last Update Date
05-09-2012
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A primary care provider (PCP) like Rashid Girshab sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Rashid Girshab is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rashid Girshab is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4183867369

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20150812009006

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 24 Medicare Claims 24 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 102 times for 46 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 300 times for 116 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 140 times for 55 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 101 times for 95 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 26 times for 26 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 100 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: N/A

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rashid Girshab is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WYNN HOSPITAL111 HOSPITAL DRIVE
UTICA, NY 13502
(315) 798-6000Acute Care Hospitals

Reviews for RASHID GIRSHAB MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497014674
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187018614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 0 + 1 + 8 + 6 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1497014674 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104815364 CAMILLE DILLARD DO
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1831188812 LINDA CULYER ANP
Individual
Nurse Practitioner (Adult Health)120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1366432684 LYNN MARIE PAQUETTE NP
Individual
Nurse Practitioner (Family)120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1396735692 KEVIN MATHEWS MD
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1790775815 VINCENT VACCARO MD
Individual
Dermatology120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1073504577 MAHESH PADMANABHAN MD
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1891726113 ROGER MOORE MD
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1750587275 LUV VACHHANI MD
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1689871907 JEFFERY FICANO DO
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1780884122 PRRASONNA SELVARAJAH MD
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 798-8499
1598965949 PUNSARA WAHALAWATTA MD
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1700086055 THEVAKI PARARAJASINGAM MD
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1023259983 EMILY HSU JOSLIN MD
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 797-1149
1205195344 AJAYA VANUMU MD
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1043563232 THET THET MAR NP
Individual
Nurse Practitioner (Family)120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1639504897 JENNIFER L SCHRADER FNP
Individual
Nurse Practitioner (Family)120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1538159660 JILL MACDONALD FNP
Individual
Nurse Practitioner (Family)120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1558362640 KENNETH I WERNER MD
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1952506230DR. JOSEPH MICHAEL DIMARIA
Individual
Family Medicine120 HOBART ST
UTICA, NY 13501
(315) 798-1149
1801250774 YAGNASRI EAGALA
Individual
Student in an Organized Health Care Education/Training Program120 HOBART ST
UTICA, NY 13501
(315) 801-1149

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497014674, enumerated in the NPI registry as an "individual" on May 09, 2012

The provider is located at 120 Hobart St Utica, Ny 13501 and the phone number is (315) 798-1149

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 11 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, more than 30 minutes and Initial hospital inpatient care per day, typically 50 minutes.

The practitioner is affiliated to the following hospital(s): WYNN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 09, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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