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PRATIK S SHAH MD
NPI 1033626403
Hospitalist in Camden, NJ

Active since January 06, 2018PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2000 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pratik S Shah Md NPPES

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

PRATIK S SHAH MD (NPI 1033626403) is an individual hospitalist provider in Camden, New Jersey, licensed in New Jersey (25MA10860300) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1033626403
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRATIK S SHAHCredential: MD
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924
Phone(856) 342-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2018
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1033626403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA10860300
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1 COOPER PLZ, Camden, NJ 08103
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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

Pratik S 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.

PECOS PAC ID1052730157
PECOS Enrollment IDI20200923000379
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

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.

RACHEL EISENBROCK CHASE DO
Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MELANIE LAFFERTY CRNA
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 963-6770
DR. MARIA CASSOTIS D.O
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (484) 832-7271
DR. AFAF A. ANTER D.O
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Camden County (856) 342-3150
MRS. KASEY LYN MASSA LCSW
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-2000
MS. ANNE KIM MSN, RN, AGACNP-BC
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 968-7449
REBECA ARAUJO KELLY MD
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (631) 671-8540
PATRICK KEENAN PA-C
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103
Camden County (856) 342-3150

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 Pratik Shah's NPI number?

The NPI number for Pratik Shah is 1033626403. It was assigned to this individual provider in the NPPES registry on January 6, 2018.

Where is Pratik Shah located?

Pratik Shah practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2000.

What is Pratik Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pratik Shah enrolled in Medicare?

Yes. Pratik 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.

Is Pratik Shah affiliated with any hospitals?

According to CMS data, Pratik Shah is affiliated with West Jersey Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Pratik Shah was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.