MADHAVI SHAH MD
NPI 1366555666
Family Medicine in White Plains, NY

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604(914) 682-6532(914) 681-5260 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madhavi Shah Md NPPES

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

MADHAVI SHAH MD (NPI 1366555666) is an individual family medicine provider in White Plains, New York, licensed in New York (271822) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Tufts University School Of Medicine (2004).

NPPES Registry Identity

NPI1366555666
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADHAVI SHAHCredential: MD
Location Address210 WESTCHESTER AVEWhite Plains, NY 10604-2901
Mailing Address1345 Avenue Of The Americas Fl 8New York, NY 10105-0018 · (908) 588-3635
Fax(914) 681-5260
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2004
Enumeration DateAugust 17, 2006
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1366555666 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 · 271822
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.
210 WESTCHESTER AVE, White Plains, NY 10604

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

Madhavi 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.

PECOS PAC ID3971695859
PECOS Enrollment IDI20160606000702
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

2

Medicare enrollment records show Madhavi Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
800 WESTCHESTER AVE STE N715
Rye Brook, NY 10573
  • Reassigned Medicare billing, New York enrollment
  • 470 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 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.

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10604 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Obstetrics & Gynecology
210 WESTCHESTER AVE
WEST HARRISON, NY 10604
Family Medicine
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Physician Assistant (Surgical)
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Obstetrics & Gynecology
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Orthopaedic Surgery
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Allergy & Immunology
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604
Family Medicine
210 WESTCHESTER AVE
WHITE PLAINS, NY 10604

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 Madhavi Shah's NPI number?

The NPI number for Madhavi Shah is 1366555666. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Madhavi Shah located?

Madhavi Shah practices at 210 Westchester Ave, White Plains, NY 10604. The listed phone number is (914) 682-6532.

What is Madhavi Shah's specialty?

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

Is Madhavi Shah enrolled in Medicare?

Yes. Madhavi 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 organizations bill Medicare for Madhavi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhavi Shah reassigns Medicare benefits to 2 organizations: Westchester Medical Group, P.C. (Rye Brook, NY) and Sun River Health Inc (Bronx, 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 Madhavi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Madhavi Shah affiliated with any hospitals?

According to CMS data, Madhavi Shah is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Madhavi Shah was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.