ASHISH VINAYCHANDRA SHAH M.D.
NPI 1104245232
Internal Medicine - Endocrinology, Diabetes & Metabolism in Iselin, NJ
About Ashish Vinaychandra Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHISH VINAYCHANDRA SHAH M.D. (NPI 1104245232) is an individual endocrinology, diabetes & metabolism provider in Iselin, New Jersey, licensed in New Jersey (25MA10086100) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of George Washington University School Of Medicine (2014).
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
Ashish Vinaychandra Shah 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ashish Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
Ottsville, PA 18942
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 153 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 7
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 08830 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
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 Ashish Shah's NPI number?
The NPI number for Ashish Shah is 1104245232. It was assigned to this individual provider in the NPPES registry on April 16, 2014.
Where is Ashish Shah located?
Ashish Shah practices at 1 Wellbrook Pl, Iselin, NJ 08830. The listed phone number is (732) 549-7470.
What is Ashish Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Ashish Shah enrolled in Medicare?
Yes. Ashish 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 organizations bill Medicare for Ashish Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Shah reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Valley Physician Services PC (Paramus, NJ), St. Luke's Physician Group, Inc. (Ottsville, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). Each 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 Ashish Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashish Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ashish 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 Ashish Shah affiliated with any hospitals?
According to CMS data, Ashish Shah is affiliated with Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Ashish Shah was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ashish Vinaychandra Shah, M.D. · NPI 1104245232
Endocrinology, Diabetes & Metabolism physician in Iselin, New Jersey. Individual provider, active in the CMS NPPES registry since April 16, 2014.
## Identity
- **NPI:** 1104245232 (Entity type: Individual)
- **Enumerated:** April 16, 2014
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 25MA10086100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 WELLBROOK PL, Iselin, NJ 08830-1559
- **Phone:** (732) 549-7470 · **Fax:** (732) 494-8596
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); Valley Physician Services PC (NPI 1467815928, Paramus, NJ); St. Luke's Physician Group, Inc. (NPI 1699700260, Ottsville, PA); St. Luke's Warren Physician Group, PC (NPI 1134465388, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** May 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104245232) · Data from the CMS NPPES public registry.