Dr Sumit P Shah, MD - Medicare Ophthalmology in New Brunswick, NJ

Dr Sumit P Shah, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in New Brunswick, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 2005 and has 19 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Associated Retinal Consultants Llc and his current practice location is 10 Plum St, Suite 600, New Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 220-1600.

Dr Sumit P Shah is licensed to practice in New Jersey (license number 25MA09260500) 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 1346439213.

Contact Information

Dr Sumit P Shah, MD
10 Plum St, Suite 600,
New Brunswick, NJ 08901-2065
(732) 220-1600
(732) 220-1603

Map and Direction




Physician's Profile

Full NameDr Sumit P Shah
GenderMale
SpecialityOphthalmology
Experience19 Years
Location10 Plum St, New Brunswick, New Jersey
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 Sumit P Shah attended and graduated from Rutgers New Jersey Medical School in 2005
  NPI Data:
  • NPI Number: 1346439213
  • Provider Enumeration Date: 10/17/2007
  • Last Update Date: 08/01/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0547310500
  • Enrollment ID: I20130614000565

Medical Identifiers

Medical identifiers for Dr Sumit P Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346439213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207WX0107XOphthalmology - Retina Specialist 25MA09260500 (New Jersey)Primary
207W00000XOphthalmology 25MA09260500 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Associated Retinal Consultants Llc2961509161114

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 Sumit P Shah allows following entities to bill medicare on his behalf.
Entity NameAssociated Retinal Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164578894
PECOS PAC ID: 2961509161
Enrollment ID: O20070523000337

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 Sumit P 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 Sumit P Shah, MD
1000 Galloping Hill Rd, Suite 305,
Union, NJ 07083-7989

Ph: (908) 458-8330
Dr Sumit P Shah, MD
10 Plum St, Suite 600,
New Brunswick, NJ 08901-2065

Ph: (732) 220-1600

Reviews and Comments


Ophthalmology Doctors in New Brunswick, NJ

Dr. Harold Matthew Wheatley, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum St, Suite 600, New Brunswick, NJ 08901
Phone: 732-220-1600    Fax: 732-220-1603
Dr. Omar Mobin-uddin, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum Street, 6th. Floor Suite 600, New Brunswick, NJ 08901
Phone: 732-546-3910    Fax: 480-287-9735
Dr. Jonathan L Prenner, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum Street, Suite 600, New Brunswick, NJ 08901
Phone: 732-220-1600    Fax: 732-220-1603
Kush Kiran Patel, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum St Ste 600, New Brunswick, NJ 08901
Phone: 732-220-1600    
Dr. Howard F Fine, MD MHSC
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum St, Suite 600, New Brunswick, NJ 08901
Phone: 732-220-1600    Fax: 732-220-1603
Dr. Eric S Friedman, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 10 Plum St, Suite 600, New Brunswick, NJ 08901
Phone: 732-220-1600    Fax: 732-220-1603

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.