Dr Nidhi Agrawal Shah, MD in Anaheim, CA

Dr Nidhi Agrawal Shah, MD is a medicare enrolled "Pediatrics" physician in Anaheim, California. Her current practice location is 3440 E La Palma Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 644-7040.

Dr Nidhi Agrawal Shah is licensed to practice in California (license number A109979) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285963306.

Contact Information

	Dr Nidhi Agrawal Shah, MD
	3440 E La Palma Ave, Anaheim, CA 92806-2020
	(714) 644-7040
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nidhi Agrawal Shah
Gender	Female
Speciality	Pediatrics
Location	3440 E La Palma Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285963306
Provider Enumeration Date: 12/19/2009
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 9133398530
Enrollment ID: I20110801000425

Medical Identifiers

Medical identifiers for Dr Nidhi Agrawal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285963306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A109979 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nidhi Agrawal Shah allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nidhi Agrawal Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nidhi Agrawal Shah, MD 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: () -	Dr Nidhi Agrawal Shah, MD 3440 E La Palma Ave, Anaheim, CA 92806-2020 Ph: (714) 644-7040

Reviews and Comments

Pediatrics Doctors in Anaheim, CA

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Ya-mei T. Yu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800
Kirtine Lee Yang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 S Anaheim Hills Rd Ste 110, Anaheim, CA 92807 Phone: 714-282-2229 Fax: 877-794-9299

Dr Nidhi Agrawal Shah, MD - Medicare Pediatrics in Anaheim, CA