Kumar Shah, MD - Medicare Internal Medicine in Buffalo, NY

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Kumar Shah, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Buffalo, New York. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mount St. Marys Hospital Of Niagara Falls, Trinity Medical Wny Pc, Kenmore Mercy Hospital, Mercy Hospital Of Buffalo and his current practice location is Elm And Carlton St, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 845-2300.

Kumar Shah is licensed to practice in New York (license number 266107) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538351986.

Contact Information

Kumar Shah, MD
Elm And Carlton St,
Buffalo, NY 14263
(716) 845-2300
Not Available

Map and Direction




Physician's Profile

Full NameKumar Shah
GenderMale
SpecialityInternal Medicine
Experience18 Years
LocationElm And Carlton St, Buffalo, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kumar Shah graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1538351986
  • Provider Enumeration Date: 08/09/2007
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395937759
  • Enrollment ID: I20101005000146

Medical Identifiers

Medical identifiers for Kumar Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538351986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 266107 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Hospital Of BuffaloBuffalo, NYHospital
Mount St. Mary's Hospital & Health CenterLewiston, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount St. Marys Hospital Of Niagara Falls408252379056
Trinity Medical Wny Pc5193907517128
Kenmore Mercy Hospital751787046241
Mercy Hospital Of Buffalo8729991666158

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. Kumar Shah allows following entities to bill medicare on his behalf.
Entity NameSisters Of Charity Hospital Of Buffalo New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790727543
PECOS PAC ID: 6204749153
Enrollment ID: O20031126000557
Entity NameKenmore Mercy Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770598104
PECOS PAC ID: 7517870462
Enrollment ID: O20040319000138
Entity NameMount St. Marys Hospital Of Niagara Falls
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043394745
PECOS PAC ID: 4082523790
Enrollment ID: O20040403000031
Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253
Entity NameTrinity Medical Wny Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295043149
PECOS PAC ID: 5193907517
Enrollment ID: O20110307000596

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. Kumar 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 AddressPractice Location Address
Kumar Shah, MD
Elm And Carlton St,
Buffalo, NY 14263-0001

Ph: (716) 845-2300		Kumar Shah, MD
Elm And Carlton St,
Buffalo, NY 14263

Ph: (716) 845-2300

Reviews and Comments


Internal Medicine Doctors in Buffalo, NY

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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