Dr Shahnawaz Ansari, MD - Medicare Diagnostic Radiology in San Bernardino, CA

Dr Shahnawaz Ansari, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Bernardino, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Golden State Imaging Associates Inc, Radadvantage A Professional Corporation, Hanford Community Hospital and his current practice location is 2101 N Waterman Ave, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 883-8711.

Dr Shahnawaz Ansari is licensed to practice in New Jersey (license number PERMIT) 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 1417324633.

Contact Information

Dr Shahnawaz Ansari, MD
2101 N Waterman Ave,
San Bernardino, CA 92404-4836
(909) 883-8711
Not Available

Map and Direction




Physician's Profile

Full NameDr Shahnawaz Ansari
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location2101 N Waterman Ave, San Bernardino, California
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:
  • Dr Shahnawaz Ansari graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1417324633
  • Provider Enumeration Date: 08/24/2015
  • Last Update Date: 02/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9931537131
  • Enrollment ID: I20200323001530

Medical Identifiers

Medical identifiers for Dr Shahnawaz Ansari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417324633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology PERMIT (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Bernardine Medical CenterSan bernardino, CAHospital
Community Hospital Of San BernardinoSan bernardino, CAHospital
Adventist Health HanfordHanford, CAHospital
Southwest Healthcare SystemMurrieta, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Golden State Imaging Associates Inc1254761315223
Radadvantage A Professional Corporation216359789949
Hanford Community Hospital741686837760

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 Shahnawaz Ansari allows following entities to bill medicare on his behalf.
Entity NameHanford Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538141627
PECOS PAC ID: 7416868377
Enrollment ID: O20040325000272
Entity NameWillits Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356339543
PECOS PAC ID: 7416940697
Enrollment ID: O20040405000843
Entity NamePinnacle Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376876912
PECOS PAC ID: 4880667609
Enrollment ID: O20040818001020
Entity NameUkiah Adventist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235120676
PECOS PAC ID: 6406816123
Enrollment ID: O20041015000818
Entity NameAdventist Health Clearlake Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameRiverside Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699776526
PECOS PAC ID: 2365412327
Enrollment ID: O20120509000724
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200414001788
Entity NameAdventist Health Tulare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801366711
PECOS PAC ID: 4385988757
Enrollment ID: O20201221001163
Entity NameReedley Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336167550
PECOS PAC ID: 0941460984
Enrollment ID: O20201224000078
Entity NameUniversal Radiology Partners Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467225235
PECOS PAC ID: 7214372986
Enrollment ID: O20240304003247

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 Shahnawaz Ansari 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
Dr Shahnawaz Ansari, MD
7102 Stockyard,
Riverside, CA 92507-0188

Ph: () -
Dr Shahnawaz Ansari, MD
2101 N Waterman Ave,
San Bernardino, CA 92404-4836

Ph: (909) 883-8711

Reviews and Comments


Radiology Doctors in San Bernardino, CA

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Dr. Abhay Vaidya, M.D.
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Practice Location: 399 E 21st St, San Bernardino, CA 92404
Phone: 909-882-2266    Fax: 909-882-2266

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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.

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