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MONICA J SHAH M.D.
NPI 1962791525
Internal Medicine in Yonkers, NY

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
92.01/100
CMS Quality Rating
967 N BROADWAY, YONKERS, NY 10701(914) 559-1022 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Monica J Shah M.d. NPPES

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

MONICA J SHAH M.D. (NPI 1962791525) is an individual internal medicine provider in Yonkers, New York, licensed in Illinois (125059890) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Broward Health North, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962791525
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONICA J SHAHCredential: M.D.
Location Address967 N BROADWAYYonkers, NY 10701-1301
Mailing Address1775 Dempster StPark Ridge, IL 60068-1143
Phone(914) 559-1022
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 5, 2011
Last NPPES UpdateNovember 12, 2014
✔ NPI 1962791525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125059890
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
967 N BROADWAY, Yonkers, NY 10701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Monica J 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.

PECOS PAC ID8921220773
PECOS Enrollment IDI20150928002196
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
192 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
75 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Broward Health North

Acute Care Hospitals · Pompano Beach, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100086
Location201 E Sample RdPompano Beach, FL 33064 · Broward County
Emergency services

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Broward Health Coral Springs

Acute Care Hospitals · Coral Springs, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100276
Location3000 Coral Hills DrCoral Springs, FL 33065 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10701 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

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. JULIAN C LILDHARRIE MD
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
SABRINA DUNN MD
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
DR. LAURA BETH THOMAS M.D.
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4349
CLAUDVILLE DEANE DERBY MD
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
MALWINA ANNA OLENDROWICZ NP
Internal Medicine (Gastroenterology)
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4444
ZHUO QIAN DO
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
AVIVA LEAH MENASHY
Student in an Organized Health Care Education/Training Program
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 798-8971
DR. SUSAN M BALEZENTIS D.O.
Emergency Medicine
967 N BROADWAY
YONKERS, NY 10701
Westchester County (914) 964-4376

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 Monica Shah's NPI number?

The NPI number for Monica Shah is 1962791525. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is Monica Shah located?

Monica Shah practices at 967 N Broadway, Yonkers, NY 10701. The listed phone number is (914) 559-1022.

What is Monica Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Shah enrolled in Medicare?

Yes. Monica 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.

What insurance does Monica Shah accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Monica 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.

Is Monica Shah affiliated with any hospitals?

According to CMS data, Monica Shah is affiliated with Broward Health North, Broward Health Imperial Point and Broward Health Coral Springs.

When was this NPI record last updated?

The NPPES record for Monica Shah was last updated on November 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.