DR. KRUTI NAVIN SHAH O.D.
NPI 1154698868
Optometrist in Sparta, NJ
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kruti Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Long Valley, NJ 07853
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- 6 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 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.
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.
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.
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.
SPARTA, NJ 07871
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.
Which organizations bill Medicare for Kruti Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kruti Shah reassigns Medicare benefits to 2 organizations: Universal Eye Care (Long Valley, NJ) and Retina Specialists Of New Jersey LLC (Phillipsburg, NJ). Each 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 Kruti Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kruti Shah accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers 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.
# Dr. Kruti Navin Shah, O.D. · NPI 1154698868
Optometrist provider in Sparta, New Jersey. Individual provider, active in the CMS NPPES registry since November 23, 2011.
## Identity
- **NPI:** 1154698868 (Entity type: Individual)
- **Enumerated:** November 23, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 27OA00637900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 SPARTA AVE, Sparta, NJ 07871-1120
- **Phone:** (203) 558-8016
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Universal Eye Care (NPI 1629922711, Long Valley, NJ); Retina Specialists Of New Jersey LLC (NPI 1992740203, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania College Of Optometry, class of 2011
## Record status
- **NPPES last updated:** January 7, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1154698868) · Data from the CMS NPPES public registry.