DR. KALPESHKUMAR KANAIYALAL SHAH MD
NPI 1184141293
Internal Medicine - Interventional Cardiology in Newark, NJ

Active since August 29, 2017PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 16, 2024, Aug 29, 2017 (2 updates tracked since 2017).

About Dr. Kalpeshkumar Kanaiyalal Shah Md NPPES

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

DR. KALPESHKUMAR KANAIYALAL SHAH MD (NPI 1184141293) is an individual interventional cardiology provider in Newark, New Jersey, licensed in New Jersey (25MA11432200) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and maintains a secondary practice location in Sea Girt.

NPPES Registry Identity

NPI1184141293
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. KALPESHKUMAR KANAIYALAL SHAHCredential: MD
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address111 Central AveNewark, NJ 07102-1909 · (929) 393-4792
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
NPI 1184141293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NJ · 25MA11432200
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
111 CENTRAL AVE, Newark, NJ 07102

Secondary Practice Location 1

Location 12130 Highway 35 Ste 321Sea Girt, NJ 08750-1011 · Phone (732) 974-6700

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. Kalpeshkumar Kanaiyalal 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 ID2567908478
PECOS Enrollment IDI20240726001397
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.

Hospital Affiliations CMS Care Compare 4

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean 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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102

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 Kalpeshkumar Shah's NPI number?

The NPI number for Kalpeshkumar Shah is 1184141293. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Kalpeshkumar Shah located?

Kalpeshkumar Shah practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Kalpeshkumar Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Kalpeshkumar Shah enrolled in Medicare?

Yes. Kalpeshkumar 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 Kalpeshkumar Shah affiliated with any hospitals?

According to CMS data, Kalpeshkumar Shah is affiliated with Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpeshkumar Shah was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.