Pradip A. Shah, M.d. P.c. - Medicare Primary Care in Edison, NJ

Pradip A. Shah, M.d. P.c. is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in Edison, New Jersey. The current practice location for Pradip A. Shah, M.d. P.c. is 1964 Oak Tree Rd, Edison, New Jersey. For appointments, you can reach them via phone at (732) 635-0050. The mailing address for Pradip A. Shah, M.d. P.c. is 1964 Oak Tree Rd, Edison, New Jersey and phone number is (732) 635-0050.

Pradip A. Shah, M.d. P.c. is licensed to practice in New Jersey (license number 25MA05755100). The clinic also participates in the medicare program and its NPI number is 1235455098. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (732) 635-0050.

Contact Information

Pradip A. Shah, M.d. P.c.
1964 Oak Tree Rd
Edison
NJ 08820-2016
(732) 635-0050
(732) 635-0051

Map and Direction


Primary Care Clinic Profile

Full NamePradip A. Shah, M.d. P.c.
SpecialityInternal Medicine
Location1964 Oak Tree Rd, Edison, New Jersey
Authorized Official Name and PositionPradip A. Shah (OWNER)
Authorized Official Contact7326350050
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pradip A. Shah, M.d. P.c.
1964 Oak Tree Rd
Edison
NJ 08820-2016

Ph: (732) 635-0050
Pradip A. Shah, M.d. P.c.
1964 Oak Tree Rd
Edison
NJ 08820-2016

Ph: (732) 635-0050

NPI Details:

NPI Number1235455098
Provider Enumeration Date04/19/2010
Last Update Date09/01/2010

Medicare PECOS Information:

Medicare PECOS PAC ID3678601887
Medicare Enrollment IDO20100510000213

Medical Identifiers

Medical identifiers for Pradip A. Shah, M.d. P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235455098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease 25MA05755100 (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. Pradip A. Shah, M.d. P.c. acts as a billing entity for following providers:
Provider NamePradip Shah
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1437175155
PECOS PAC ID: 0345382537
Enrollment ID: I20100127000107
Provider NamePooja P Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477953123
PECOS PAC ID: 0941508816
Enrollment ID: I20170403002300

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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.