Individual provider Active NPI

Bhadra B Shah, MD

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1003896564
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
111592 Issued in NY
Practice address
303 Second Ave
Suite 9
New York, NY 10003-2746
Phone
(212) 777-3920
Fax
(212) 614-9376
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 111592 NY Primary

Addresses

Primary practice location

303 Second Ave
Suite 9
New York, NY 10003-2746

Mailing address

303 Second Ave
Suite 9
New York, NY 10003-2746
Phone (212) 777-3920

Other identifiers 2

IdentifierTypeStateIssuer
002011343MedicaidNY
964431OtherNYBCBS

Other names 1

  • Miss Bhadra K Shroff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1003896564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SECOND AVE",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032746",
            "telephone_number": "212-777-3920",
            "fax_number": "212-614-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SECOND AVE",
            "address_2": "SUITE 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032746",
            "telephone_number": "212-777-3920",
            "fax_number": "212-614-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHADRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "111592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002011343",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "964431",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHADRA",
            "last_name": "SHROFF",
            "middle_name": "K",
            "prefix": "MISS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.