Shumyle Alam, MD is a medicare enrolled "Urology - Pediatric Urology" physician in Madera, California. His current practice location is
9300 Valley Childrens Pl # 16, Madera, California. You can reach out to his office (for appointments etc.) via phone at
(559) 353-6195.
Shumyle Alam is licensed to practice in California (license number C201275) 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 1073638870.
Physician's Profile
| Full Name | Shumyle Alam |
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| Gender | Male |
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| Speciality | Urology - Pediatric Urology |
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| Location | 9300 Valley Childrens Pl # 16, Madera, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073638870
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274630330
- Enrollment ID: I20140327001703
Medical Identifiers
Medical identifiers for Shumyle Alam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073638870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2088P0231X | Urology - Pediatric Urology | 272913-1 (New York) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | 35.086578 (Ohio) | Secondary |
| 2088P0231X | Urology - Pediatric Urology | C201275 (California) | 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. Shumyle Alam allows following entities to bill medicare on his behalf.
| Entity Name | Trustees Of Columbia University In The City Of New York |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982993184
PECOS PAC ID: 8527972546
Enrollment ID: O20040407001360 |
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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. Shumyle 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 Address | Practice Location Address |
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Shumyle Alam, MD
9300 Valley Childrens Pl # 16,
Madera, CA 93636-8761
Ph: (559) 353-6195 | Shumyle Alam, MD
9300 Valley Childrens Pl # 16,
Madera, CA 93636-8761
Ph: (559) 353-6195 |
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