DR. SETAREH SHAMS MD
NPI 1003176462
Obstetrics & Gynecology - Obstetrics in Paterson, NJ
About Dr. Setareh Shams Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SETAREH SHAMS MD (NPI 1003176462) is an individual obstetrics provider in Paterson, New Jersey, licensed in New Jersey (25MA09753300) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Setareh Shams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Setareh Shams reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paterson, NJ 07503
- Reassigned Medicare billing, New Jersey enrollment
- 317 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
PATERSON, NJ 07503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Setareh Shams's NPI number?
The NPI number for Setareh Shams is 1003176462. It was assigned to this individual provider in the NPPES registry on May 20, 2012.
Where is Setareh Shams located?
Setareh Shams practices at 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2700.
What is Setareh Shams's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Setareh Shams enrolled in Medicare?
Yes. Setareh Shams is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Setareh Shams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Setareh Shams reassigns Medicare benefits to 6 organizations: St Josephs Medical Group PC (Paterson, NJ), Physician Affiliate Group Of New York PC (New York, NY), Downtown Bronx Medical Associates PC (Bronx, NY), Metropolitan Medical Practice Plan PC (New York, NY), Coney Island Medical Practice Plan, P.C. (Brooklyn, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Setareh Shams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Setareh Shams accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Setareh Shams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Setareh Shams was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Setareh Shams, MD · NPI 1003176462
Obstetrics physician in Paterson, New Jersey. Individual provider, active in the CMS NPPES registry since May 20, 2012.
## Identity
- **NPI:** 1003176462 (Entity type: Individual)
- **Enumerated:** May 20, 2012
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** 25MA09753300 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 703 MAIN ST, Paterson, NJ 07503-2621
- **Phone:** (973) 754-2700 · **Fax:** (973) 754-2725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): St Josephs Medical Group PC (NPI 1205425519, Paterson, NJ); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY); Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY); Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003176462) · Data from the CMS NPPES public registry.