KUMARPAL AMBALAL SHAH M.D.
NPI 1093995524
Internal Medicine - Endocrinology, Diabetes & Metabolism in Albertson, NY

Q: What is Kumarpal Shah's NPI number?

The NPI number for Kumarpal Shah is 1093995524. It was assigned to this individual provider in the NPPES registry on November 13, 2007. The provider is also known as Kumar A Shah M.D..

Q: What is Kumarpal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Kumarpal Shah was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 13, 2007PECOS EnrolledAccepts Medicare Assignment

28 RIDGE RD, ALBERTSON, NY 11507(718) 222-1065(718) 222-1350 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kumarpal Ambalal Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUMARPAL AMBALAL SHAH M.D. (NPI 1093995524) is an individual endocrinology, diabetes & metabolism provider in Albertson, New York, licensed in New York (139486) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1968).

NPPES Registry Identity

NPI1093995524

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameKUMARPAL AMBALAL SHAHCredential: M.D.

Location Address28 RIDGE RDAlbertson, NY 11507-1010

Mailing Address326 Livingston St, ABrooklyn, NY 11217-1002 · (718) 222-1065 · Fax (718) 222-1350

Phone(718) 222-1065

Fax(718) 222-1350

Sole ProprietorYes

Medical School CMSOtherGraduated 1968

Enumeration DateNovember 13, 2007

Last NPPES UpdateMarch 7, 2023

✔ NPI 1093995524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 139486

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

28 RIDGE RD, Albertson, NY 11507

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Other Names 1

Professional Name (2)Kumar A Shah M.d.

Other Identifiers 14

Other67A031NY · Medicare Id

OtherP00106064NY · Medicare Rail Rd

Other0021517NY · Ghi

Other340290101, IMNY · Health Plus

Other340300201 ENDNY · Health First

Other139486 B21NY · Health First

Other139486 NYNY · 1199

Other139486NY · Ny License No

Other6635785002NY · Cigna

Other67A03NY · Blue Shield

OtherP2090111NY · Oxford

Medicaid00770576NY

Other139486NY · Hip

Other26121NY · United Health

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kumarpal Ambalal Shah M.d. 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.

PECOS PAC ID3173694247

PECOS Enrollment IDI20080617000409

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

2,447 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11507 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers12 claims39 services$5.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kumarpal Shah's NPI number?

The NPI number for Kumarpal Shah is 1093995524. It was assigned to this individual provider in the NPPES registry on November 13, 2007. The provider is also known as Kumar A Shah M.D..

Where is Kumarpal Shah located?

Kumarpal Shah practices at 28 Ridge Rd, Albertson, NY 11507. The listed phone number is (718) 222-1065.

What is Kumarpal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kumarpal Shah enrolled in Medicare?

Yes. Kumarpal 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.

When was this NPI record last updated?

The NPPES record for Kumarpal Shah was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.