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PANKAJ R SHIROLAWALA M.D.
NPI 1003882523
Internal Medicine in Perth Amboy, NJ

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
609 AMBOY AVE STE 101, PERTH AMBOY, NJ 08861(732) 442-2211(732) 326-0517 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pankaj R Shirolawala M.d. NPPES

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

PANKAJ R SHIROLAWALA M.D. (NPI 1003882523) is an individual internal medicine provider in Perth Amboy, New Jersey, licensed in New Jersey (25MA07849500) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1003882523
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePANKAJ R SHIROLAWALACredential: M.D.
Location Address609 AMBOY AVE STE 101Perth Amboy, NJ 08861-2577
Mailing Address61 Arizona AveOld Bridge, NJ 08857-4317 · (732) 326-0837 · Fax (732) 326-0517
Phone(732) 442-2211
Fax(732) 326-0517
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 24, 2006
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1003882523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07849500
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.
609 AMBOY AVE STE 101, Perth Amboy, NJ 08861
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Other Identifiers 14

Other20-4436194NJ · Qualcare
Other2728989000NJ · Amerihealth Hmo
Other7995802NJ · Aetna
Medicaid02689307NY
Other2623898NJ · United Healthcare
Medicaid0096920NJ
Other20-4436194NJ · Greatwest Healthcare
Other300899NJ · Amerigroup Of Nj
Other91002229500NJ · Americhoice
OtherP3719178NJ · Oxford
Other3K3412NJ · Healthnet
Other0645U1NY · Bcbs
Other5337019NJ · Cigna
Other9425393NJ · Phcs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Molina Healthcare.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

Pankaj R Shirolawala 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 ID8325068851
PECOS Enrollment IDI20060328000011
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
274 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08861 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers20 claims35 services$4.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PANKAJ SHIROLAWALA MD LLC
Internal Medicine
609 AMBOY AVE STE 101
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-2211

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 Pankaj Shirolawala's NPI number?

The NPI number for Pankaj Shirolawala is 1003882523. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Pankaj Shirolawala located?

Pankaj Shirolawala practices at 609 Amboy Ave Ste 101, Perth Amboy, NJ 08861. The listed phone number is (732) 442-2211.

What is Pankaj Shirolawala's specialty?

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

Is Pankaj Shirolawala enrolled in Medicare?

Yes. Pankaj Shirolawala 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 Pankaj Shirolawala accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Molina Healthcare list Pankaj Shirolawala 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 Pankaj Shirolawala affiliated with any hospitals?

According to CMS data, Pankaj Shirolawala is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Pankaj Shirolawala was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.