Dr Utpal Suresh Shah, MD - Medicare Pediatrics in East Windsor, NJ

Dr Utpal Suresh Shah, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in East Windsor, New Jersey. His current practice location is 300b Princeton Hightstown Rd, Suite #201, East Windsor, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 448-7300.

Dr Utpal Suresh Shah is licensed to practice in New Jersey (license number MA072768) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225066491.

Contact Information

Dr Utpal Suresh Shah, MD
300b Princeton Hightstown Rd, Suite #201,
East Windsor, NJ 08520-1411
(609) 448-7300
(609) 448-8022

Map and Direction




Physician's Profile

Full NameDr Utpal Suresh Shah
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location300b Princeton Hightstown Rd, East Windsor, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225066491
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416383195
  • Enrollment ID: I20200129001687

Medical Identifiers

Medical identifiers for Dr Utpal Suresh Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225066491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine MA072768 (New Jersey)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 Utpal Suresh Shah allows following entities to bill medicare on his behalf.
Entity NameAdvocare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770538696
PECOS PAC ID: 3678562188
Enrollment ID: O20040510001217

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 Utpal Suresh 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 Utpal Suresh Shah, MD
300b Princeton Hightstown Rd, Suite #201,
East Windsor, NJ 08520-1411

Ph: (609) 448-7300
Dr Utpal Suresh Shah, MD
300b Princeton Hightstown Rd, Suite #201,
East Windsor, NJ 08520-1411

Ph: (609) 448-7300

Reviews and Comments


Pediatrics Doctors in East Windsor, NJ

Dr. Bradley Gribin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300b Princeton Hightstown Rd, Suite 203, East Windsor, NJ 08520
Phone: 609-448-7300    
Dr. Brian F Marcus, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300b Princeton Hightstown Rd, Suite 201, East Windsor, NJ 08520
Phone: 609-448-7300    Fax: 609-448-8022
Dr. Aimee Rebecca Goodman, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300b Princeton Hightstown Rd, Suite 201, East Windsor, NJ 08520
Phone: 609-448-7300    Fax: 609-448-8022
Radhika K Patel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 300b Princeton Hightstown Rd, Suite 201, East Windsor, NJ 08520
Phone: 609-448-7300    Fax: 609-448-8022
Dr. Irene Kotok, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 319 Highway 130 North, Suite 29b, East Windsor, NJ 08520
Phone: 609-426-1555    Fax: 609-443-1394
Dr. Suresh N Shah, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300b Princeton Hightstown Rd, Suite #201, East Windsor, NJ 08520
Phone: 609-448-7300    Fax: 609-448-8022

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).

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