DR. HIMANSHU S SHAH M.D.
NPI 1104833276
Ophthalmology in Edison, NJ

Q: What is Himanshu Shah's NPI number?

The NPI number for Himanshu Shah is 1104833276. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Himanshu Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Himanshu Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment

228 PLAINFIELD AVE, EDISON, NJ 08817(732) 985-5009(732) 985-5155 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Himanshu S Shah M.d. NPPES

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

DR. HIMANSHU S SHAH M.D. (NPI 1104833276) is an individual ophthalmology provider in Edison, New Jersey, licensed in New Jersey (25MA05351800) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1104833276

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. HIMANSHU S SHAHCredential: M.D.

Location Address228 PLAINFIELD AVEEdison, NJ 08817-3738

Mailing Address228 Plainfield AveEdison, NJ 08817-3738

Phone(732) 985-5009

Fax(732) 985-5155

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104833276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NJ · 25MA05351800

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

228 PLAINFIELD AVE, Edison, NJ 08817

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Other Identifiers 3

Medicare UPINE37889NJ

Medicare ID-Type Unspecified457164R7JNJ

Medicaid6276903NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana 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

Dr. Himanshu S 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.

PECOS PAC ID2567489735

PECOS Enrollment IDI20051027000158

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 11

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

218 services179 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

198 services191 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

158 services157 patients

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.

89 services74 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

85 services44 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

80 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 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

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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 4

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

DR. HITESH K PATEL M.D.

Ophthalmology

228 PLAINFIELD AVE
EDISON, NJ 08817

Middlesex County (732) 985-5009

GARY ARTHUR STEINBERG OD

Optometrist

228 PLAINFIELD AVE
EDISON, NJ 08817

Middlesex County (732) 985-5009

DANIEL DIAMOND OD

Optometrist

228 PLAINFIELD AVE
EDISON, NJ 08817

Middlesex County (732) 985-5009

PATEL EYE ASSOCIATES LLC

Ophthalmology

228 PLAINFIELD AVE
EDISON, NJ 08817

Middlesex County (732) 985-5009

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 Himanshu Shah's NPI number?

The NPI number for Himanshu Shah is 1104833276. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Himanshu Shah located?

Himanshu Shah practices at 228 Plainfield Ave, Edison, NJ 08817. The listed phone number is (732) 985-5009.

What is Himanshu Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Himanshu Shah enrolled in Medicare?

Yes. Himanshu 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.

What insurance does Himanshu Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Himanshu 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.

When was this NPI record last updated?

The NPPES record for Himanshu Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.