Dr Sapna Shah, MD - Medicare Family Practice in South Richmond Hill, NY

Dr Sapna Shah, MD is a medicare enrolled "Family Medicine" physician in South Richmond Hill, New York. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. Her current practice location is 12506 101st Ave, South Richmond Hill, New York. You can reach out to her office (for appointments etc.) via phone at (718) 849-2900.

Dr Sapna Shah is licensed to practice in New York (license number 249371) 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 1659534543.

Contact Information

Dr Sapna Shah, MD
12506 101st Ave,
South Richmond Hill, NY 11419
(718) 849-2900
(718) 943-2631

Map and Direction




Physician's Profile

Full NameDr Sapna Shah
GenderFemale
SpecialityFamily Practice
Experience28 Years
Location12506 101st Ave, South Richmond Hill, 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:
  • Dr Sapna Shah graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1659534543
  • Provider Enumeration Date: 07/09/2008
  • Last Update Date: 05/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6002976065
  • Enrollment ID: I20081120000236

Medical Identifiers

Medical identifiers for Dr Sapna Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659534543NPI-NPPES
03023874MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 249371 (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. Dr Sapna Shah allows following entities to bill medicare on her behalf.
Entity NameVytaliz Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568831105
PECOS PAC ID: 7719296938
Enrollment ID: O20151028002361
Entity NameSapna Shah Family Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386162089
PECOS PAC ID: 7315205499
Enrollment ID: O20171219000722

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 Sapna 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
Dr Sapna Shah, MD
1575 Hillside Ave Ste 203,
New Hyde Park, NY 11040-2501

Ph: (516) 888-6341
Dr Sapna Shah, MD
12506 101st Ave,
South Richmond Hill, NY 11419

Ph: (718) 849-2900

Reviews and Comments


Family Medicine Doctors in South Richmond Hill, NY

Nidhi Jain, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11220 Liberty Ave, South Richmond Hill, NY 11419
Phone: 718-554-6600    
Dr. Surendra Sugrim, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 13106 Liberty Ave, South Richmond Hill, NY 11419
Phone: 718-322-5322    Fax: 718-322-5323
Dr. Loveena Singh, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11220 Liberty Ave, South Richmond Hill, NY 11419
Phone: 718-554-6600    Fax: 718-554-0016
Simranpreet Kainth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9519 118th St, South Richmond Hill, NY 11419
Phone: 917-291-9046    
Dr. James Jin Lee, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12506 101st Ave, South Richmond Hill, NY 11419
Phone: 718-849-2900    
Dr. Maria Isabel Almonte, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10105 Lefferts Blvd, Suite 203, South Richmond Hill, NY 11419
Phone: 718-441-8086    Fax: 718-441-8087

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.