Ummara H Shah, MD - Medicare Rheumatology in Rochester, NY

Ummara H Shah, MD is a medicare enrolled "Internal Medicine" physician in Rochester, New York. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Rheumatology. She is a member of the group practice University Of Rochester, Allergy - Immunology - Rheumatology Clinical Group and her current practice location is 601 Elmwood Ave, Box 695, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-1643.

Ummara H Shah is licensed to practice in New York (license number 260067) 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 1114194164.

Contact Information

Ummara H Shah, MD
601 Elmwood Ave, Box 695,
Rochester, NY 14642-0001
(585) 275-1643
(585) 442-3214

Map and Direction




Physician's Profile

Full NameUmmara H Shah
GenderFemale
SpecialityRheumatology
Experience16 Years
Location601 Elmwood Ave, Rochester, 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:
  • Ummara H Shah graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1114194164
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052580669
  • Enrollment ID: I20110816000017

Medical Identifiers

Medical identifiers for Ummara H Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114194164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 260067 (New York)Secondary
207R00000XInternal Medicine 260067 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Strong Memorial HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Rochester5799699088793
Allergy - Immunology - Rheumatology Clinical Group882007406524

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. Ummara H Shah allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019
Entity NameAllergy - Immunology - Rheumatology Clinical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497702286
PECOS PAC ID: 8820074065
Enrollment ID: O20040628000890

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. Ummara H 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
Ummara H Shah, MD
601 Elmwood Ave, Box 695,
Rochester, NY 14642-0001

Ph: (585) 275-1643
Ummara H Shah, MD
601 Elmwood Ave, Box 695,
Rochester, NY 14642-0001

Ph: (585) 275-1643

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.