Srishti Shah, DO - Medicare Family Practice in Clifton, NJ

Srishti Shah, DO is a medicare enrolled "Family Medicine" physician in Clifton, New Jersey. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Summit Medical Group Pa and her current practice location is 1255 Broad St, Clifton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 685-5920.

Srishti Shah is licensed to practice in New Jersey (license number 25MB10110200) 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 1417363441.

Contact Information

Srishti Shah, DO
1255 Broad St,
Clifton, NJ 07013-3398
(973) 685-5920
(201) 604-7464

Map and Direction




Physician's Profile

Full NameSrishti Shah
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location1255 Broad St, Clifton, 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:
  • Srishti Shah graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1417363441
  • Provider Enumeration Date: 07/10/2014
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587935309
  • Enrollment ID: I20221102002987

Medical Identifiers

Medical identifiers for Srishti Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417363441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 289873 (New York)Secondary
207Q00000XFamily Medicine 25MB10110200 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group Pa53956422761253

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. Srishti Shah allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942254347
PECOS PAC ID: 5395642276
Enrollment ID: O20031218000011

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. Srishti 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
Srishti Shah, DO
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300
Srishti Shah, DO
1255 Broad St,
Clifton, NJ 07013-3398

Ph: (973) 685-5920

Reviews and Comments


Family Medicine Doctors in Clifton, NJ

Tayyab Malik, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 855 Valley Rd, Clifton, NJ 07013
Phone: 201-596-6262    Fax: 201-596-6299
Dr. Cheng-an Mao, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 871 Allwood Rd, Clifton, NJ 07012
Phone: 862-249-4904    Fax: 862-249-4903
Diane M Allegra, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1135 Broad St, Suite 201, Clifton, NJ 07013
Phone: 973-754-4100    
Dr. Sudershan Narang, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 721 Clifton Ave, Clifton, NJ 07013
Phone: 973-471-9454    Fax: 973-471-9576
Robert Palacios, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1135 Broad St, Clifton, NJ 07013
Phone: 973-614-0990    Fax: 973-614-8288
Ms. Jennifer C. Igbokwe, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6 Brighton Rd Fl 2, Clifton, NJ 07012
Phone: 973-777-7911    Fax: 973-777-5403
Mrs. Cynthia K Bowyer, APN
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1355 Broad St, Clifton, NJ 07013
Phone: 973-778-5566    Fax: 973-778-4044

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.