MS. KIMI SUDHIR SHAH
NPI 1205389772
Nurse Practitioner - Family in Clifton, NJ

Q: What is Kimi Shah's NPI number?

The NPI number for Kimi Shah is 1205389772. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Q: What is Kimi Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimi Shah was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 01, 2016PECOS Enrolled

137 HADDENFIELD RD, CLIFTON, NJ 07013(973) 510-3809 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Ms. Kimi Sudhir Shah NPPES

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

MS. KIMI SUDHIR SHAH (NPI 1205389772) is an individual family provider in Clifton, New Jersey, licensed in New Jersey (26NJ00657600) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205389772

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KIMI SUDHIR SHAH

Location Address137 HADDENFIELD RDClifton, NJ 07013-3907

Mailing Address1 Clara Maass DrBelleville, NJ 07109-3550 · (973) 450-2448

Phone(973) 510-3809

Sole ProprietorNo

Enumeration DateAugust 1, 2016

Last NPPES UpdateMarch 14, 2017

✔ NPI 1205389772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00657600

137 HADDENFIELD RD, Clifton, NJ 07013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimi Sudhir Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Kimi Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vital IV Infusions

13 mi

Mental Health (Including Community Mental Health Center)

159 MAIN ST
Chatham, NJ 07928

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1902526635 (856) 712-3505

Rwjbh Emergency Medicine Associates, LLC

28 mi

Emergency Medicine

3 EXECUTIVE DR, STE 400
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
1,557 clinicians in this Medicare group

NPI 1912510041 (732) 867-9618

Rutgers Health-Rwj Pediatric Critical Care

29 mi

Anesthesiology

125 PATERSON ST STE 5123
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
492 clinicians in this Medicare group

NPI 1063420776 (732) 235-7246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

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.

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

72%208 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers14 claims17 services$59.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TEJASH SHAH CRNA

Nurse Anesthetist, Certified Registered

137 HADDENFIELD RD
CLIFTON, NJ 07013

Passaic County (973) 510-3808

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 Kimi Shah's NPI number?

The NPI number for Kimi Shah is 1205389772. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Where is Kimi Shah located?

Kimi Shah practices at 137 Haddenfield Rd, Clifton, NJ 07013. The listed phone number is (973) 510-3809.

What is Kimi Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimi Shah enrolled in Medicare?

Yes. Kimi Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimi Shah reassigns Medicare benefits to 3 organizations: Vital IV Infusions (Chatham, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, 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 Kimi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimi Shah was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.