NIDHI JAYESH SHAH MD
NPI 1053931063
Student in an Organized Health Care Education/Training Program in Stony Brook, NY
About Nidhi Jayesh Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIDHI JAYESH SHAH MD (NPI 1053931063) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2020).
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 and accepts Medicare assignment
Nidhi Jayesh Shah Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Nidhi Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clifton, NJ 07011
- Reassigned Medicare billing, New Jersey enrollment
- 8 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.
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.
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
STONY BROOK, NY 11794
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 Nidhi Shah's NPI number?
The NPI number for Nidhi Shah is 1053931063. It was assigned to this individual provider in the NPPES registry on April 20, 2020.
Where is Nidhi Shah located?
Nidhi Shah practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 871-3050.
What is Nidhi Shah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nidhi Shah enrolled in Medicare?
Yes. Nidhi Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Nidhi Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Shah reassigns Medicare benefits to Trudoc LLC (Clifton, NJ). The 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 Nidhi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nidhi Shah accept?
Health plans from Oscar Health list Nidhi Shah 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 Nidhi Shah was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Nidhi Jayesh Shah, MD · NPI 1053931063
Student in an Organized Health Care Education/Training Program provider in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since April 20, 2020.
## Identity
- **NPI:** 1053931063 (Entity type: Individual)
- **Enumerated:** April 20, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 101 NICOLLS RD, Stony Brook, NY 11794-0001
- **Phone:** (631) 871-3050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trudoc LLC (NPI 1619565942, Clifton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** April 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053931063) · Data from the CMS NPPES public registry.