SHIVANI S SHAH M.D
NPI 1245579226
Pediatrics in Staten Island, NY

Active since February 11, 2013PECOS Enrolled
135 CANAL ST STE 200, STATEN ISLAND, NY 10304(917) 830-1950 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shivani S Shah M.d NPPES

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

SHIVANI S SHAH M.D (NPI 1245579226) is an individual pediatrics provider in Staten Island, New York, licensed in New York (292168) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245579226
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSHIVANI S SHAHCredential: M.D
Location Address135 CANAL ST STE 200Staten Island, NY 10304
Mailing Address46 Albion StBridgeport, CT 06605-2602 · (646) 724-0532
Sole ProprietorNo
Enumeration DateFebruary 11, 2013
Last NPPES UpdateJuly 18, 2018
✔ NPI 1245579226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 292168
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 292168 (NY)
135 CANAL ST STE 200, Staten Island, NY 10304

Other Identifiers 1

Other292168NY · Ny State

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)

Shivani S Shah M.d 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 Shivani Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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 10304 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.

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 Shivani Shah's NPI number?

The NPI number for Shivani Shah is 1245579226. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Where is Shivani Shah located?

Shivani Shah practices at 135 Canal St Ste 200, Staten Island, NY 10304. The listed phone number is (917) 830-1950.

What is Shivani Shah's specialty?

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

Is Shivani Shah enrolled in Medicare?

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

Which organizations bill Medicare for Shivani Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivani Shah reassigns Medicare benefits to 4 organizations: Metropolitan Medical Practice Plan PC (New York, NY), Physician Affiliate Group Of New York PC (New York, NY), Valley Physician Services PC (Paramus, NJ) and North Shore - Lij Medical PC (New Hyde Park, NY). 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 Shivani Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivani Shah accept?

Health plans from Oscar Health list Shivani 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 Shivani Shah was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.