SAMIR N SHAH M.D. NPI 1205197480
Anesthesiology in Somerset, NJ
About SAMIR N SHAH M.D.
Samir Shah is an anesthesiologist established in Somerset, New Jersey and his medical specialization is Anesthesiology with more than 11 years of experience. The NPI number of this provider is 1205197480 and was assigned on June 2012. The practitioner's primary taxonomy code is 207L00000X with license number 25MA09843100 (NJ). The provider is registered as an individual and his NPI record was last updated 5 years ago.
| NPI | 1205197480 |
| Provider Name | SAMIR N SHAH M.D. |
| Location Address | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 |
| Location Phone | (732) 271-1400 |
| Mailing Address | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-04-2012 |
| Last Update Date | 02-12-2018 |
An anesthesiologist like Samir Shah manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.Samir Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Samir Shah is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Hackensack University Medical Center and Newton Medical Center.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 70.25, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207L00000X |
| Classification | Anesthesiology |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 25MA09843100 |
| License State | NJ |
| Taxonomy Description | An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
Business Address
285 DAVIDSON AVE STE 204
SOMERSET, NJ
ZIP 08873
Phone: (732) 271-1400
Fax: (732) 271-3544
Mailing Address
285 DAVIDSON AVE STE 204
SOMERSET, NJ
ZIP 08873
Phone: (732) 271-1400
Fax: (732) 271-3544
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2264726488 |
| PECOS Enrollment ID | I20160811001134 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 65 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
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The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 70.25 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 33Anesthesia for lens surgery (HCPCS:00142)
- 22Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:00731)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samir Shah is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| HACKENSACK UNIVERSITY MEDICAL CENTER | 30 PROSPECT AVE HACKENSACK, NJ 7601 | (551) 996-2000 | Acute Care Hospitals | 310001 | |
| NEWTON MEDICAL CENTER | 175 HIGH ST NEWTON, NJ 7860 | (973) 383-2121 | Acute Care Hospitals | 310028 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 1 | 9 | 7 | 4 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 2 | 9 | 14 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 2 + 9 + 1 + 4 + 4 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1205197480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689928749 | MARGARET A LIDDY C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1992064778 | ALAN WILFRED ROMERO CACES MD Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1649448317 | DR. SAMIR NATAVAR PATEL M.D. Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1427347897 | BRETT JOSEPH MOSES M.D. Individual | Anesthesiology (Pediatric Anesthesiology) | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1003011065 | DR. LAURA LEI MD Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1871799015 | DR. STEPHANIE JEAN-NOEL M.D. Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1417156381 | DR. KRISTA R RUEDY M.D. Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1851538441 | DR. ERIC LEE M.D. Individual | Anesthesiology (Pediatric Anesthesiology) | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1144226093 | JOHN E KRESGE CRNA Individual | Nurse Anesthetist, Certified Registered | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1114001211 | DR. ANILCHANDRA I. BHAGAT M.D. Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1588084974 | BHARATH KUMAR MITTAPALLI M.D. Individual | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
| 1972263044 | SPECIALIZED ANESTHESIA SERVICES Organization | Anesthesiology | 285 DAVIDSON AVE STE 204 SOMERSET, NJ 08873 (732) 271-1400 |
Frequently Asked Questions
What is Samir Shah M.D. NPI number?
The NPI number assigned to this healthcare provider is 1205197480, registered as an "individual" on June 04, 2012
Where is Samir Shah M.D. located?
The provider is located at 285 Davidson Ave Ste 204 Somerset, Nj 08873 and the phone number is (732) 271-1400
Which is Samir Shah M.D. specialty?
The provider's speciality is Anesthesiology
How many years of experience does Samir Shah M.D. have?
The provider has more than 11 years of experience.
Is Samir Shah M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are some of the services provided by Samir Shah M.D.?
The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery and Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope.
Is Samir Shah M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: HACKENSACK UNIVERSITY MEDICAL CENTER and NEWTON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Samir Shah M.D. was last updated on June 04, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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