Pradip A Shah, MD - Medicare Infectious Disease in Edison, NJ

Pradip A Shah, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Edison, New Jersey. He graduated from medical school in 1973 and has 51 years of diverse experience with area of expertise as Infectious Disease. His current practice location is 1964 Oak Tree Rd, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 635-0050.

Pradip A Shah is licensed to practice in New Jersey (license number MA57551) 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 1437175155.

Contact Information

Pradip A Shah, MD
1964 Oak Tree Rd,
Edison, NJ 08820-2016
(732) 635-0050
(732) 635-0051

Map and Direction




Physician's Profile

Full NamePradip A Shah
GenderMale
SpecialityInfectious Disease
Experience51 Years
Location1964 Oak Tree Rd, Edison, 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:
  • Pradip A Shah graduated from medical school in 1973
  NPI Data:
  • NPI Number: 1437175155
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 06/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0345382537
  • Enrollment ID: I20100127000107

Medical Identifiers

Medical identifiers for Pradip A Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437175155NPI-NPPES
6068405MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease MA57551 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jfk Medical CenterEdison, NJHospital
Raritan Bay Medical Center Perth Amboy DivisionPerth amboy, NJHospital
Robert Wood Johnson University Hospital At RahwayRahway, NJHospital
Care One At The HighlandsEdison, NJNursing home

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. Pradip A Shah allows following entities to bill medicare on his behalf.
Entity NamePradip A. Shah, M.d. P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235455098
PECOS PAC ID: 3678601887
Enrollment ID: O20100510000213

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. Pradip A 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
Pradip A Shah, MD
1964 Oak Tree Rd,
Edison, NJ 08820-2016

Ph: (732) 635-0050
Pradip A Shah, MD
1964 Oak Tree Rd,
Edison, NJ 08820-2016

Ph: (732) 635-0050

Reviews and Comments


Internal Medicine Doctors in Edison, NJ

Dr. Vasilios Velmahos, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 113 James St, Edison, NJ 08820
Phone: 732-906-1900    Fax: 732-906-6666
Dr. Pankaj Gupta, MD, MBA
Infectious Disease
Medicare: Not Enrolled in Medicare
Practice Location: 31 Southfield Rd, Edison, NJ 08820
Phone: 860-989-8829    
Dr. Howard S. Cohen, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 98 James St, Suite 313, Edison, NJ 08820
Phone: 732-635-0916    Fax: 732-494-4907
Dr. Malvin S Keller, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 225 May St, Suite F, Edison, NJ 08837
Phone: 732-738-8855    Fax: 732-738-4141
Charumathi Rathnakumar, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 35 Progress St, Suite A-4, Edison, NJ 08820
Phone: 732-514-9624    Fax: 732-377-3767
Anil Kumar Singh, M.D
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1740 Oak Tree Rd Ste B, Edison, NJ 08820
Phone: 732-494-5000    Fax: 732-494-6698
Dr. Aron A Barsky, M.D.
Infectious Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4 Ethel Rd, Suite 405b, Edison, NJ 08817
Phone: 732-287-0255    Fax: 732-287-0355

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.