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SHIVANAND SHANKAR MEDAR MD
NPI 1609033703
Pediatrics - Pediatric Critical Care Medicine in Bronx, NY

Active since May 18, 2008PECOS Enrolled
111 E 210TH ST, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467(718) 741-2440 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 10, 2025, Oct 20, 2022 (2 updates tracked since 2022).

About Shivanand Shankar Medar Md NPPES

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

SHIVANAND SHANKAR MEDAR MD (NPI 1609033703) is an individual pediatric critical care medicine provider in Bronx, New York, licensed in New York (266896) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609033703
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameSHIVANAND SHANKAR MEDARCredential: MD
Location Address111 E 210TH ST, MONTEFIORE MEDICAL CENTERBronx, NY 10467-2401
Mailing Address3450 Wayne Ave, Apt#12hBronx, NY 10467-2510 · (347) 431-7779
Phone(718) 741-2440
Sole ProprietorYes
Enumeration DateMay 18, 2008
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1609033703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 266896
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 266896 (NY)
111 E 210TH ST, Bronx, NY 10467
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shivanand Shankar Medar 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

3

Medicare enrollment records show Shivanand Medar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Shriners Hospitals For Children
90 mi
Orthopaedic Surgery
3551 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
NPI 1275271462 (813) 518-7679
New York University
1,049 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Shivanand Medar's NPI number?

The NPI number for Shivanand Medar is 1609033703. It was assigned to this individual provider in the NPPES registry on May 18, 2008.

Where is Shivanand Medar located?

Shivanand Medar practices at 111 E 210th St Montefiore Medical Center, Bronx, NY 10467. The listed phone number is (718) 741-2440.

What is Shivanand Medar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Shivanand Medar enrolled in Medicare?

Yes. Shivanand Medar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shivanand Medar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shivanand Medar reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Shriners Hospitals For Children (Philadelphia, PA) and New York University (Boynton Beach, FL). 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 Shivanand Medar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shivanand Medar accept?

Health plans from AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield list Shivanand Medar 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 Shivanand Medar was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.