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: July 19, 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 Raritan Bay Medical Center, 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 46

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
11,465 services113 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.
503 services478 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.
294 services290 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.
203 services176 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.
114 services113 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
113 services113 patients

Hospital Affiliations CMS Care Compare 4

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

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

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

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

The NPI number assigned to this healthcare provider is 1144215963, enumerated as an "individual" on September 19, 2005.

The provider is located at 6 RIVERVIEW PLZ RED BANK, NJ 07701 and the phone number is (732) 747-1429.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Amerigroup, Railroad. Please consult your insurance carrier or call the provider to verify.

Pranav Shah is affiliated with: RARITAN BAY MEDICAL CENTER, JERSEY SHORE UNIVERSITY MEDICAL CENTER, MONMOUTH MEDICAL CENTER and MONMOUTH MEDICAL CENTER-SOUTHERN CAMPUS.