SEJAL GOHEL SHAH MD
NPI 1104981000
Internal Medicine in Millstone, NJ
About Sejal Gohel Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEJAL GOHEL SHAH MD (NPI 1104981000) is an individual internal medicine provider in Millstone, New Jersey, licensed in New Jersey (25MA08706200) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of George Washington University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Sejal Gohel 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 Sejal 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 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Peter's University Hospital
Acute Care Hospitals · New Brunswick, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08535 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.
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 Sejal Shah's NPI number?
The NPI number for Sejal Shah is 1104981000. It was assigned to this individual provider in the NPPES registry on December 22, 2006. The provider is also known as Sejal Pravin Gohel MD.
Where is Sejal Shah located?
Sejal Shah practices at 514 Route 33 West Suite 6, Millstone, NJ 08535. The listed phone number is (732) 851-7007.
What is Sejal Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sejal Shah enrolled in Medicare?
Yes. Sejal 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 Sejal Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sejal 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 Sejal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sejal Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sejal 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 Sejal Shah affiliated with any hospitals?
According to CMS data, Sejal Shah is affiliated with Saint Peter's University Hospital and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Sejal Shah was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sejal Gohel Shah, MD · NPI 1104981000
Internal Medicine physician in Millstone, New Jersey. Individual provider, active in the CMS NPPES registry since December 22, 2006.
## Identity
- **NPI:** 1104981000 (Entity type: Individual)
- **Enumerated:** December 22, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA08706200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 514 ROUTE 33 WEST, SUITE 6, Millstone, NJ 08535
- **Phone:** (732) 851-7007
## 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:** George Washington University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** October 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1104981000) · Data from the CMS NPPES public registry.