Madhavi Shah, MD - Medicare Family Practice in Bronx, NY

Madhavi Shah, MD is a medicare enrolled "Family Medicine" physician in Bronx, New York. She went to Tufts University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sun River Health Inc. and her current practice location is 1826 Arthur Ave, Health Center At Tremont, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 918-8700.

Madhavi Shah is licensed to practice in New York (license number 271822) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366555666.

Contact Information

Madhavi Shah, MD
1826 Arthur Ave, Health Center At Tremont,
Bronx, NY 10457-6601
(718) 918-8700
Not Available

Map and Direction




Physician's Profile

Full NameMadhavi Shah
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location1826 Arthur Ave, Bronx, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Madhavi Shah attended and graduated from Tufts University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1366555666
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 11/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3971695859
  • Enrollment ID: I20160606000702

Medical Identifiers

Medical identifiers for Madhavi Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366555666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 271822 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St John's Riverside HospitalYonkers, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sun River Health Inc.6608783568157

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. Madhavi Shah allows following entities to bill medicare on her behalf.
Entity NameSun River Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568526838
PECOS PAC ID: 6608783568
Enrollment ID: O20040714000375

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. Madhavi 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
Madhavi Shah, MD
1826 Arthur Ave, Health Center At Tremont,
Bronx, NY 10457-6601

Ph: () -
Madhavi Shah, MD
1826 Arthur Ave, Health Center At Tremont,
Bronx, NY 10457-6601

Ph: (718) 918-8700

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.