Dr Shumaila Alam, MD - Medicare Family Practice in Newton, NJ

Dr Shumaila Alam, MD is a medicare enrolled "Family Medicine" physician in Newton, New Jersey. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Practice Associates Medical Group and her current practice location is 175 High St, Newton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 579-8321.

Dr Shumaila Alam is licensed to practice in New Jersey (license number 25MA09814500) 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 1851732143.

Contact Information

Dr Shumaila Alam, MD
175 High St,
Newton, NJ 07860-1004
(973) 579-8321
Not Available

Map and Direction




Physician's Profile

Full NameDr Shumaila Alam
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location175 High St, Newton, New Jersey
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 Shumaila Alam graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1851732143
  • Provider Enumeration Date: 07/15/2013
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0042507873
  • Enrollment ID: I20160922001084

Medical Identifiers

Medical identifiers for Dr Shumaila Alam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851732143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 25MA09814500 (New Jersey)Secondary
207Q00000XFamily Medicine 25MA09814500 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hackettstown Medical CenterHackettstown, NJHospital
Morristown Medical CenterMorristown, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Practice Associates Medical Group58907031771116

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 Shumaila Alam allows following entities to bill medicare on her behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690

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 Shumaila Alam 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 Shumaila Alam, MD
Po Box 416457,
Boston, MA 02241-6457

Ph: (844) 362-1735
Dr Shumaila Alam, MD
175 High St,
Newton, NJ 07860-1004

Ph: (973) 579-8321

Reviews and Comments


Family Medicine Doctors in Newton, NJ

John D Mcgraw, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 135 Newton Sparta Rd, Newton, NJ 07860
Phone: 973-579-1000    Fax: 973-579-3571
Frank L. Kane, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33 Newton Sparta Rd, Newton, NJ 07860
Phone: 973-383-5844    Fax: 973-383-8692
Dr. David G. Mattes, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 181 High St, Newton, NJ 07860
Phone: 973-383-9898    Fax: 973-383-9665
Eric Murch, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 123 Newton Sparta Rd, Newton, NJ 07860
Phone: 973-579-6300    Fax: 973-579-1524
Robert J Pampin, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33 Newton Sparta Rd, Newton, NJ 07860
Phone: 973-383-2244    Fax: 973-383-0448
Ken Kinoshita, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 238 Spring St, A, Newton, NJ 07860
Phone: 973-862-6650    
Dr. George William Peterson, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 113 Main St, Newton, NJ 07860
Phone: 973-383-0808    Fax: 973-383-3840

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.