1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Family Medicine
  6. NPI Profile

SUDHA R SHAH
NPI 1205924974
Family Medicine in Brooklyn, NY

Active since October 10, 2006PECOS Enrolled
3860 KINGS HWY, BROOKLYN, NY 11234(718) 252-5550(718) 258-1768 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sudha R Shah NPPES

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

SUDHA R SHAH (NPI 1205924974) is an individual family medicine provider in Brooklyn, New York, licensed in New York (133672) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205924974
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUDHA R SHAH
Location Address3860 KINGS HWYBrooklyn, NY 11234-2907
Mailing Address288 Birch DrRoslyn, NY 11576-3002 · (516) 567-6135 · Fax (718) 258-1768
Phone(718) 252-5550
Fax(718) 258-1768
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateMarch 1, 2012
✔ NPI 1205924974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 133672
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3860 KINGS HWY, Brooklyn, NY 11234
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified25A231NY
Medicaid00346814NY
Medicare UPINC07196

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sudha R Shah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUDHA R SHAH MD PC
Clinic/Center (Primary Care)
3860 KINGS HWY, #1
BROOKLYN, NY 11234
Kings County (718) 252-5550

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 Sudha Shah's NPI number?

The NPI number for Sudha Shah is 1205924974. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Sudha Shah located?

Sudha Shah practices at 3860 Kings Hwy, Brooklyn, NY 11234. The listed phone number is (718) 252-5550.

What is Sudha Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sudha Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sudha Shah was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.