DR. PAYAL M SHAH MD
NPI 1104386804
Pediatrics in Bronx, NY

Active since March 20, 2019PECOS Enrolled
1400 PELHAM PKWY S, BRONX, NY 10461(718) 918-5000 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2023, Mar 20, 2019 (2 updates tracked since 2019).

About Dr. Payal M Shah Md NPPES

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

DR. PAYAL M SHAH MD (NPI 1104386804) is an individual pediatrics provider in Bronx, New York, licensed in New Jersey (25MA11480800) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1104386804
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAYAL M SHAHCredential: MD
Location Address1400 PELHAM PKWY SBronx, NY 10461-1197
Mailing Address638 Washington StHoboken, NJ 07030-4908 · (201) 600-5154
Sole ProprietorYes
Enumeration DateMarch 20, 2019
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1104386804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA11480800
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1400 PELHAM PKWY S, Bronx, NY 10461

Secondary Practice Location 1

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-7471

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. Payal M Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Payal Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 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 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

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.

Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Pharmacist
1400 PELHAM PKWY S
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6, SUITE B125
BRONX, NY 10461
Psychiatry & Neurology (Clinical Neurophysiology)
1400 PELHAM PKWY S, BUILDING #1, 3N1
BRONX, NY 10461
Midwife
1400 PELHAM PKWY S, BS. 33
BRONX, NY 10461
Emergency Medicine
1400 PELHAM PKWY S, BUILDING 6//SUITE B125
BRONX, NY 10461
Student in an Organized Health Care Education/Training Program
1400 PELHAM PKWY S
BRONX, NY 10461
Anesthesiology
1400 PELHAM PKWY S
BRONX, NY 10461

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 Payal Shah's NPI number?

The NPI number for Payal Shah is 1104386804. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Payal Shah located?

Payal Shah practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5000.

What is Payal Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Payal Shah enrolled in Medicare?

Yes. Payal Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Payal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payal Shah reassigns Medicare benefits to 4 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Payal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payal Shah accept?

Health plans from Oscar Health list Payal 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 Payal Shah was last updated on April 26, 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.