Individual provider Active NPI

Shalini Bobra, M.D.

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1376738237
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
239785 Issued in NY
Practice address
3130 Grand Concourse
Suite 1V
Bronx, NY 10458-1213
Phone
(718) 684-5131
Fax
(718) 684-5133
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 239785 NY Primary

Addresses

Primary practice location

3130 Grand Concourse
Suite 1V
Bronx, NY 10458-1213

Mailing address

16 Fawn LN
Armonk, NY 10504-1126
Phone (718) 684-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000057 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739260837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concourse Cardiology Associates P.CGroup PAC ID 2860381001, 3 clinicians
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

3130 Grand Concourse
Suite 1G
Bronx, NY 10458-1263
Phone (718) 733-5299

99 Business Park Dr
Armonk, NY 10504-1720
Phone (914) 849-7900

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Jan 1, 2021 Accepting new patients
Concourse Cardiology Associates, P.C. Cardiovascular Disease CurrentSince Jan 1, 2013 Accepting new patients
Allina Health System Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

3130 Grand Concourse
Ste 1G
Bronx, NY 10458
Phone (718) 733-5299

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: sbobra@montefioredirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1376738237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAWN LN",
            "city": "ARMONK",
            "state": "NY",
            "postal_code": "105041126",
            "telephone_number": "718-684-5131",
            "fax_number": "718-684-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 GRAND CONCOURSE",
            "address_2": "SUITE 1V",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581213",
            "telephone_number": "718-684-5131",
            "fax_number": "718-684-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBRA",
        "first_name": "SHALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "239785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.