Kalpana Shah, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Staten Island, New York. Her current practice location is
475 Sea View Avenue, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 226-8630.
Kalpana Shah is licensed to practice in ZZ (license number ) 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 1982080784.
Physician's Profile
Full Name | Kalpana Shah |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 475 Sea View Avenue, Staten Island, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982080784
- Provider Enumeration Date: 08/04/2015
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365717188
- Enrollment ID: I20240423000686
Medical Identifiers
Medical identifiers for Kalpana Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982080784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 76335 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (ZZ) | 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. Kalpana Shah allows following entities to bill medicare on her behalf.
Entity Name | Jefferson Radiology Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
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Entity Name | Connecticut Imaging Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
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Entity Name | Tic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
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Entity Name | Farmington Imaging Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
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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. Kalpana 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 |
Kalpana Shah, 461 Alter Ave, Staten Island, NY 10305 Ph: (631) 568-6015 | Kalpana Shah, 475 Sea View Avenue, Staten Island, NY 10305 Ph: (718) 226-8630 |
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