SHOBHA JAGANNATHAM MD
NPI 1821651050
Obstetrics & Gynecology - Maternal & Fetal Medicine in Bronx, NY

Q: What is Shobha Jagannatham's NPI number?

The NPI number for Shobha Jagannatham is 1821651050. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Q: What is Shobha Jagannatham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Active since April 14, 2019PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2026, May 17, 2023, Apr 15, 2019 and 1 more (4 updates tracked since 2019).

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About Shobha Jagannatham Md NPPES

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

SHOBHA JAGANNATHAM MD (NPI 1821651050) is an individual maternal & fetal medicine provider in Bronx, New York, licensed in New York (324178) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821651050

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameSHOBHA JAGANNATHAMCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address1000 10th AveNew York, NY 10019-1147

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateApril 14, 2019

Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1821651050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

License✔ Licensed in NY · 324178

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Locations 2

Location 11000 10th AveNew York, NY 10019-1147 · Phone (212) 523-4000

Location 21111 Amsterdam AveNew York, NY 10025-1716 · Phone (805) 300-7501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shobha Jagannatham 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

Medicare enrollment records show Shobha Jagannatham reassigns Medicare billing to 2 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

New York University

1,049 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
2,450 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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 20

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

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)