Shivani S Shah, MD in Staten Island, NY

Shivani S Shah, MD is a medicare enrolled "Pediatrics" physician in Staten Island, New York. Her current practice location is 135 Canal St Ste 200, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (917) 830-1950.

Shivani S Shah is licensed to practice in New York (license number 292168) 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 1245579226.

Contact Information

	Shivani S Shah, MD
	135 Canal St Ste 200, Staten Island, NY 10304
	(917) 830-1950
	Not Available

Map and Direction

Physician's Profile

Full Name	Shivani S Shah
Gender	Female
Speciality	Pediatrics
Location	135 Canal St Ste 200, Staten Island, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245579226
Provider Enumeration Date: 02/11/2013
Last Update Date: 07/18/2018

Medicare PECOS Information:

PECOS PAC ID: 1658619671
Enrollment ID: I20190215001990

Medical Identifiers

Medical identifiers for Shivani S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245579226	NPI	-	NPPES
292168	Other	NY	NY STATE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	292168 (New York)	Secondary
208000000X	Pediatrics	292168 (New York)	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. Shivani S Shah allows following entities to bill medicare on her behalf.

Entity Name	Metropolitan Medical Practice Plan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Physician Affiliate Group Of New York Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270

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. Shivani S 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
Shivani S Shah, MD 46 Albion St, Bridgeport, CT 06605-2602 Ph: (646) 724-0532	Shivani S Shah, MD 135 Canal St Ste 200, Staten Island, NY 10304 Ph: (917) 830-1950

Reviews and Comments

Pediatrics Doctors in Staten Island, NY

Dr. Emanuel Lazar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Seguine Ave, Staten Island, NY 10309 Phone: 718-356-3838 Fax: 718-356-0174
Dr. Jessie Bautista Pita, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 235 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-876-1732 Fax: 718-876-3459
Dr. Edward D Mccabe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 242 Mason Ave, Staten Island, NY 10305 Phone: 718-226-6262 Fax: 718-226-6531
Sabrina Dukach, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 355 Bard Ave, Pediatrics Rm 314, Staten Island, NY 10310 Phone: 718-818-4636
Dr. Brian W.j. Mccarthy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4982 Hylan Blvd, Staten Island, NY 10312 Phone: 718-967-6200 Fax: 718-967-6314
Mr. Clifford A Mevs, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 148 New Dorp Lane, 2nd Floor, Staten Island, NY 10306 Phone: 718-980-5437 Fax: 718-979-2653
Dr. Emelita Riego De Dios Castor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2040 Forest Ave, Staten Island, NY 10303 Phone: 718-761-2060 Fax: 718-982-7647

Shivani S Shah, MD - Medicare Pediatrics in Staten Island, NY