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DR. KRUTI NAVIN SHAH O.D.
NPI 1154698868
Optometrist in Sparta, NJ

Active since November 23, 2011PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
350 SPARTA AVE, SPARTA, NJ 07871(203) 558-8016 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kruti Navin Shah O.d. NPPES

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

DR. KRUTI NAVIN SHAH O.D. (NPI 1154698868) is an individual optometrist in Sparta, New Jersey, licensed in New Jersey (27OA00637900) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2011).

NPPES Registry Identity

NPI1154698868
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KRUTI NAVIN SHAHCredential: O.D.
Location Address350 SPARTA AVESparta, NJ 07871-1120
Mailing Address88 N Hillside AveKenvil, NJ 07847-2584 · (203) 558-8016
Phone(203) 558-8016
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2011
Enumeration DateNovember 23, 2011
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1154698868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NJ · 27OA00637900✔ Licensed in CT · 2841
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
350 SPARTA AVE, Sparta, NJ 07871
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Kruti Navin Shah O.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 ID2961657721
PECOS Enrollment IDI20130227000410
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 10

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.

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.
444 services422 patients
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.
332 services302 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
297 services208 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
178 services178 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
174 services172 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
99 services98 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 18

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

KAVITHA SELVARAJ M.D.
Internal Medicine
350 SPARTA AVE, B6B
SPARTA, NJ 07871
Sussex County (973) 729-9122
DR. EMILY ELIZABETH BRISLIN PSY.D
Psychologist
350 SPARTA AVE, STE C8
SPARTA, NJ 07871
Sussex County (908) 979-1144
MS. CHRISTIE GIACOBBE
Counselor (Professional)
350 SPARTA AVE
SPARTA, NJ 07871
Sussex County (973) 726-4533
RAQUEL CHRISTINA THORMANN LPC
Counselor (Professional)
350 SPARTA AVE, BUILDING B
SPARTA, NJ 07871
Sussex County (973) 919-3814
SHARON ALEXANDER LCADC
Counselor (Addiction (Substance Use Disorder))
350 SPARTA AVE
SPARTA, NJ 07871
Sussex County (732) 742-5954
DR. GERALD ROBERT NATHAN PHD
Psychologist
350 SPARTA AVE, STE C-8
SPARTA, NJ 07871
Sussex County (973) 729-4747
DR. MARIE ANN CZAPLICKI-MARGIOTTI M.D.
Orthopaedic Surgery
350 SPARTA AVE, C-7
SPARTA, NJ 07871
Sussex County (973) 940-8100
HAZARI MUDULI, MD, LLC
Surgery (Vascular Surgery)
350 SPARTA AVE, UNIT B6B
SPARTA, NJ 07871
Sussex County (973) 729-2619

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 Kruti Shah's NPI number?

The NPI number for Kruti Shah is 1154698868. It was assigned to this individual provider in the NPPES registry on November 23, 2011.

Where is Kruti Shah located?

Kruti Shah practices at 350 Sparta Ave, Sparta, NJ 07871. The listed phone number is (203) 558-8016.

What is Kruti Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kruti Shah enrolled in Medicare?

Yes. Kruti 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 Kruti Shah accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kruti 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 Kruti Shah was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.