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DR. JITENDRA A SHAH M.D.
NPI 1487727996
Family Medicine in Patchogue, NY

Active since November 15, 2006PECOS Enrolled
504 MEDFORD AVE, PATCHOGUE, NY 11772(631) 475-4646(631) 447-5234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jitendra A Shah M.d. NPPES

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

DR. JITENDRA A SHAH M.D. (NPI 1487727996) is an individual family medicine provider in Patchogue, New York, licensed in New York (124768-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487727996
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JITENDRA A SHAHCredential: M.D.
Location Address504 MEDFORD AVEPatchogue, NY 11772-1321
Mailing Address504 Medford AvePatchogue, NY 11772-1321 · (631) 475-4646 · Fax (631) 447-5234
Phone(631) 475-4646
Fax(631) 447-5234
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487727996 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 · 124768-1
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.

504 MEDFORD AVE, Patchogue, NY 11772
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jitendra A 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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 3

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

DR. PANNA SHAH M.D.
Family Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 475-4646
HEALTH EDGE MEDICAL CARE PLLC
Internal Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 475-4646
FERDOUSI BEGUM SHILPEE MD
Internal Medicine
504 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 475-4646

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 Jitendra Shah's NPI number?

The NPI number for Jitendra Shah is 1487727996. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Jitendra Shah located?

Jitendra Shah practices at 504 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 475-4646.

What is Jitendra Shah's specialty?

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

Is Jitendra Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jitendra Shah was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.