Active NPI
Bhadra B Shah, MD
- Obstetrics & Gynecology Physician
- New York, NY
National Provider Identifier
1003896564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 111592
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002011343 | Medicaid | NY | |
| 964431 | Other | NY | BCBS |
Other names 1
- Miss Bhadra K Shroff
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.