DR. UTPAL SURESH SHAH M.D.
NPI 1225066491
Pediatrics - Adolescent Medicine in East Windsor, NJ
About Dr. Utpal Suresh Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. UTPAL SURESH SHAH M.D. (NPI 1225066491) is an individual adolescent medicine provider in East Windsor, New Jersey, licensed in New Jersey (MA072768) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
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 (PECOS)
Dr. Utpal Suresh Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Utpal Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 909 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.
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.
EAST WINDSOR, NJ 08520
EAST WINDSOR, NJ 08520
EAST WINDSOR, NJ 08520
EAST WINDSOR, NJ 08520
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 Utpal Shah's NPI number?
The NPI number for Utpal Shah is 1225066491. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is Utpal Shah located?
Utpal Shah practices at 300B Princeton Hightstown Rd Suite #201, East Windsor, NJ 08520. The listed phone number is (609) 448-7300.
What is Utpal Shah's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Utpal Shah enrolled in Medicare?
Yes. Utpal Shah is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Utpal Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Utpal Shah reassigns Medicare benefits to Advocare, LLC (Marlton, 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 Utpal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Utpal Shah accept?
Health plans from Oscar Health list Utpal 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 Utpal Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Utpal Suresh Shah, M.D. · NPI 1225066491
Adolescent Medicine physician in East Windsor, New Jersey. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1225066491 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** MA072768 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 300B PRINCETON HIGHTSTOWN RD, SUITE #201, East Windsor, NJ 08520-1411
- **Phone:** (609) 448-7300 · **Fax:** (609) 448-8022
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocare, LLC (NPI 1770538696, Marlton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1225066491) · Data from the CMS NPPES public registry.