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MASIH LALI MD
NPI 1083286868
Internal Medicine in Toms River, NJ

Active since July 12, 2021PECOS EnrolledAccepts Medicare Assignment
99 HIGHWAY 37 W, TOMS RIVER, NJ 08755(732) 557-2342 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Sep 14, 2021, Jul 12, 2021 (3 updates tracked since 2021).

About Masih Lali Md NPPES

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

MASIH LALI MD (NPI 1083286868) is an individual internal medicine provider in Toms River, New Jersey, licensed in Texas (U7229) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083286868
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMASIH LALICredential: MD
Location Address99 HIGHWAY 37 WToms River, NJ 08755-6423
Mailing Address99 Highway 37 WToms River, NJ 08755-6423 · (732) 557-2342
Phone(732) 557-2342
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 12, 2021
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1083286868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · U7229
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.
99 HIGHWAY 37 W, Toms River, NJ 08755
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Masih Lali 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 ID3870032287
PECOS Enrollment IDI20240829002237
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
174 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services36 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.
23 services23 patients
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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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.

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.

MARY ROMETTI MD
Emergency Medicine
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
DR. EDAMWEN EWEKA MD, MBA
Emergency Medicine
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
RAVALI KUNDETI DO
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
MICHELE COLE
Physical Therapist
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
ANSHU SUTIHAR MD
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2110
MR. RYAN ANTHONY FERET PA-C
Physician Assistant (Medical)
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SULAIMAAN SIDDIQUI MD
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
DR. RYAN AUSTIN KNIPE DO
Student in an Organized Health Care Education/Training Program
99 HIGHWAY 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604

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 Masih Lali's NPI number?

The NPI number for Masih Lali is 1083286868. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Masih Lali located?

Masih Lali practices at 99 Highway 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-2342.

What is Masih Lali's specialty?

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

Is Masih Lali enrolled in Medicare?

Yes. Masih Lali 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 Masih Lali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Masih Lali 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 Masih Lali affiliated with any hospitals?

According to CMS data, Masih Lali is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Masih Lali was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.