DR. DARSHINI SHAH MD
NPI 1013533017
Family Medicine in Clark, NJ
About Dr. Darshini Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DARSHINI SHAH MD (NPI 1013533017) is an individual family medicine provider in Clark, New Jersey, licensed in New Jersey (MT221465) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Darshini Shah Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Darshini Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 689 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Darshini Shah's NPI number?
The NPI number for Darshini Shah is 1013533017. It was assigned to this individual provider in the NPPES registry on June 25, 2020.
Where is Darshini Shah located?
Darshini Shah practices at 1180 Raritan Rd, Clark, NJ 07066. The listed phone number is (848) 308-4520.
What is Darshini Shah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Darshini Shah enrolled in Medicare?
Yes. Darshini Shah 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.
Which organization bills Medicare for Darshini Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darshini Shah reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darshini Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darshini Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Darshini Shah 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 Darshini Shah affiliated with any hospitals?
According to CMS data, Darshini Shah is affiliated with Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Darshini Shah was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Darshini Shah, MD · NPI 1013533017
Family Medicine physician in Clark, New Jersey. Individual provider, active in the CMS NPPES registry since June 25, 2020.
## Identity
- **NPI:** 1013533017 (Entity type: Individual)
- **Enumerated:** June 25, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MT221465 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1180 RARITAN RD, Clark, NJ 07066-1311
- **Phone:** (848) 308-4520
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hackensack Meridian Health Medical Group - Primary Care PC (NPI 1336203538, Red Bank, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 12, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1013533017) · Data from the CMS NPPES public registry.