Minoo Pedoem-Shapiro, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

171544 Issued in NY

Practice address

448 Temple Hill Rd
New Windsor, NY 12553-5510

Phone

(845) 562-2191

Fax

(845) 562-2295

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Windsor Pediatrics LLCGroup PAC ID 0840417077, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• New Windsor Pediatrics LLC.

  • Pediatrics Physician
  • New Windsor, NY
  • NPI 1912095852
  Medicare reassignment Care Compare group Authorized official
• New Windsor Family Care LLC

  • Clinic/Center
  • Newburgh, NY
  • NPI 1669192712
  Medicare reassignment NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1780678136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 TEMPLE HILL RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535510",
            "telephone_number": "845-562-2191",
            "fax_number": "845-562-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 TEMPLE HILL RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535510",
            "telephone_number": "845-562-2191",
            "fax_number": "845-562-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDOEM-SHAPIRO",
        "first_name": "MINOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "171544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01155302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bichara Paul
• Pax Medical, P.C.
• Lawanda J. Payton, LPN
• Adrianna Pean
• Ariel Yehdua Pedoeem, DO
• Hulya Peker Evren
• Frances Delaine Pennington
• Jose Manuel Perez, DDS
• Ellen Marie Perran, LCSW-R
• Murali Authur Perumal, M.D.

• Pediatrics Physician in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.