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DR. NEHABEN KETANKUMAR SHAH M.D.
NPI 1194928879
Internal Medicine in Union, NJ

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
2300 VAUXHALL RD, SUITE C, UNION, NJ 07083(908) 688-4424(908) 688-4832 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nehaben Ketankumar Shah M.d. NPPES

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

DR. NEHABEN KETANKUMAR SHAH M.D. (NPI 1194928879) is an individual internal medicine provider in Union, New Jersey, licensed in New Jersey (25MA08185200) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1194928879
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEHABEN KETANKUMAR SHAHCredential: M.D.
Location Address2300 VAUXHALL RD, SUITE CUnion, NJ 07083
Mailing Address2300 Vauxhall Rd, Suite CUnion, NJ 07083 · (908) 688-4424 · Fax (908) 688-4832
Phone(908) 688-4424
Fax(908) 688-4832
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 8, 2007
Last NPPES UpdateJune 26, 2018
✔ NPI 1194928879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA08185200✔ Licensed in NY · 244358
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2300 VAUXHALL RD, Union, NJ 07083
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Nehaben Ketankumar Shah M.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 ID8224139845
PECOS Enrollment IDI20140821001895
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.

Medicare Billing Reassignment

Medicare enrollment records show Nehaben Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pranay Bhatt MD LLC
7.0 mi
Internal Medicine
350 BLOOMFIELD AVE STE 4
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1174704522 (973) 748-9330

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
248 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services104 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
77 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
42 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07083 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims31 services$6.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nehaben Shah's NPI number?

The NPI number for Nehaben Shah is 1194928879. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Nehaben Shah located?

Nehaben Shah practices at 2300 Vauxhall Rd Suite C, Union, NJ 07083. The listed phone number is (908) 688-4424.

What is Nehaben Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nehaben Shah enrolled in Medicare?

Yes. Nehaben 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 organization bills Medicare for Nehaben Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nehaben Shah reassigns Medicare benefits to Pranay Bhatt MD LLC (Bloomfield, NJ). The 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 Nehaben Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nehaben Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nehaben 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 Nehaben Shah was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.