Ms Toral D Shah, MD - Medicare Pediatrics in Austin, TX

Ms Toral D Shah, MD is a medicare enrolled "Pediatrics" physician in Austin, Texas. Her current practice location is 11111 Research Blvd Ste 230, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (877) 800-5722.

Ms Toral D Shah is licensed to practice in Texas (license number K8836) 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 1255395000.

Contact Information

Ms Toral D Shah, MD
11111 Research Blvd Ste 230,
Austin, TX 78759-5791
(877) 800-5722
(512) 605-6396

Map and Direction




Physician's Profile

Full NameMs Toral D Shah
GenderFemale
SpecialityPediatrics
Location11111 Research Blvd Ste 230, Austin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255395000
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 02/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769555184
  • Enrollment ID: I20080718000037

Medical Identifiers

Medical identifiers for Ms Toral D Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255395000NPI-NPPES
038515503MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services K8836 (Texas)Secondary
208000000XPediatrics K8836 (Texas)Primary
207P00000XEmergency Medicine K8836 (Texas)Secondary

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. Ms Toral D Shah allows following entities to bill medicare on her behalf.
Entity NameLone Star Circle Of Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891746970
PECOS PAC ID: 5193709392
Enrollment ID: O20040622000184

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. Ms Toral D 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
Ms Toral D Shah, MD
205 E University Ave Ste 200,
Georgetown, TX 78626-6821

Ph: (512) 686-0207
Ms Toral D Shah, MD
11111 Research Blvd Ste 230,
Austin, TX 78759-5791

Ph: (877) 800-5722

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).

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