DR. KAVITHA SHAH M.D
NPI 1881974574
Family Medicine in Clifton, NJ
About Dr. Kavitha Shah M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAVITHA SHAH M.D (NPI 1881974574) is an individual family medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA09499600) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
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
Dr. Kavitha Shah M.d 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kavitha Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bayonne, NJ 07002
- Reassigned Medicare billing, New Jersey enrollment
- 637 clinicians in this Medicare group
Mount Holly, NJ 08060
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 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 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLIFTON, NJ 07013
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 Kavitha Shah's NPI number?
The NPI number for Kavitha Shah is 1881974574. It was assigned to this individual provider in the NPPES registry on August 25, 2011. The provider is also known as Dr. Kavitha Sebamalai.
Where is Kavitha Shah located?
Kavitha Shah practices at 1135 Broad St, Clifton, NJ 07013. The listed phone number is (973) 754-4100.
What is Kavitha Shah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kavitha Shah enrolled in Medicare?
Yes. Kavitha 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 Kavitha Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kavitha Shah reassigns Medicare benefits to 3 organizations: Garden State Healthcare Associates, LLC (Bayonne, NJ), Virtua Medical Group, PA (Mount Holly, NJ) and Advocare, LLC (Marlton, NJ). 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 Kavitha Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kavitha Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas and Priority Health list Kavitha 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 Kavitha Shah was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Kavitha Shah, M.D · NPI 1881974574
Family Medicine physician in Clifton, New Jersey. Individual provider, active in the CMS NPPES registry since August 25, 2011.
## Identity
- **NPI:** 1881974574 (Entity type: Individual)
- **Enumerated:** August 25, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MA09499600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 BROAD ST, Clifton, NJ 07013-3346
- **Phone:** (973) 754-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Garden State Healthcare Associates, LLC (NPI 1700014545, Bayonne, NJ); Virtua Medical Group, PA (NPI 1851841696, Mount Holly, NJ); Advocare, LLC (NPI 1770538696, Marlton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 20, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1881974574) · Data from the CMS NPPES public registry.