PRANAV N SHAH MD
NPI 1144215963
Radiology - Diagnostic Radiology in Red Bank, NJ

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment
80.19/100
CMS Quality Rating
6 RIVERVIEW PLZ, RED BANK, NJ 07701(732) 747-1429(732) 747-4778 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pranav N Shah Md NPPES

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

PRANAV N SHAH MD (NPI 1144215963) is an individual diagnostic radiology provider in Red Bank, New Jersey, licensed in New Jersey (MA59610) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1992).

NPPES Registry Identity

NPI1144215963
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePRANAV N SHAHCredential: MD
Location Address6 RIVERVIEW PLZRed Bank, NJ 07701-1863
Mailing Address6 Riverview PlzRed Bank, NJ 07701-1863 · (732) 747-1429 · Fax (732) 747-4778
Fax(732) 747-4778
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1992
Enumeration DateSeptember 19, 2005
Last NPPES UpdateJuly 16, 2007
NPI 1144215963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · MA59610
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6 RIVERVIEW PLZ, Red Bank, NJ 07701

Other Identifiers 15

Other1165209NJ · Horizon/mercy
Other2011112NJ · United Healthcare
Other3000957NJ · Aetna Hmo
Other3629272NJ · Aetna Hmo
Other94356NJ · Amerigroup
Medicaid8642800NJ
OtherP00053557NJ · Rr Medicare
Other2121288000NJ · Amerihealth
Other9012122-006NJ · Cigna
Other913160NJ · Usa Managed Care
Medicare ID-Type Unspecified040923NJ · Medicare
Other0007710377NJ · Aetna Pos
Other4099586NJ · Ghi
Other651U51NJ · Wellchoice
Medicare UPING89294NJ

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

Pranav N 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 ID1153351093
PECOS Enrollment IDI20050819000438
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 56

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
20,202 services203 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
624 services465 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
466 services418 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
301 services191 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
200 services123 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
137 services133 patients

Hospital Affiliations CMS Care Compare 5

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

80.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Radiology)
6 RIVERVIEW PLZ
RED BANK, NJ 07701
Radiology (Diagnostic Radiology)
6 RIVERVIEW PLZ
RED BANK, NJ 07701
Radiology (Diagnostic Radiology)
6 RIVERVIEW PLZ
RED BANK, NJ 07701

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 Pranav Shah's NPI number?

The NPI number for Pranav Shah is 1144215963. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Where is Pranav Shah located?

Pranav Shah practices at 6 Riverview Plz, Red Bank, NJ 07701. The listed phone number is (732) 747-1429.

What is Pranav Shah's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Pranav Shah enrolled in Medicare?

Yes. Pranav 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 Pranav Shah affiliated with any hospitals?

According to CMS data, Pranav Shah is affiliated with Robert Wood Johnson University Hospital, Raritan Bay Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Pranav Shah was last updated on July 16, 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.