SANDEEP SHAH MD
NPI 1225314966
Hospitalist in North Bergen, NJ

Active since October 26, 2011PECOS Enrolled
1906 PATERSON PLANK RD, APT #3A, NORTH BERGEN, NJ 07047(561) 389-0319 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandeep Shah Md NPPES

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

SANDEEP SHAH MD (NPI 1225314966) is an individual hospitalist provider in North Bergen, New Jersey, licensed in New Jersey (25MA09103700) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225314966
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANDEEP SHAHCredential: MD
Location Address1906 PATERSON PLANK RD, APT #3ANorth Bergen, NJ 07047-1902
Mailing Address1906 Paterson Plank Rd, Apt #3aNorth Bergen, NJ 07047-1902 · (561) 389-0319
Sole ProprietorYes
Enumeration DateOctober 26, 2011
Last NPPES UpdateApril 18, 2019
✔ NPI 1225314966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA09103700
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 25MA09103700 (NJ)
1906 PATERSON PLANK RD, North Bergen, NJ 07047

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)

Sandeep Shah Md 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

6

Medicare enrollment records show Sandeep Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 51 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
Specialist
80 JAMES ST, 4TH FLOOR
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 165 clinicians in this Medicare group
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07047 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.

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 Sandeep Shah's NPI number?

The NPI number for Sandeep Shah is 1225314966. It was assigned to this individual provider in the NPPES registry on October 26, 2011.

Where is Sandeep Shah located?

Sandeep Shah practices at 1906 Paterson Plank Rd Apt #3a, North Bergen, NJ 07047. The listed phone number is (561) 389-0319.

What is Sandeep Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sandeep Shah enrolled in Medicare?

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

Which organizations bill Medicare for Sandeep Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Shah reassigns Medicare benefits to 6 organizations: Hudson Premier Medical PC (Secaucus, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Optum Medical Care Of New Jersey PC (New Hyde Park, NY), Community Hospital Group Inc (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ) and 1 more organization, listed in the Medicare section above. 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 Sandeep Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Shah accept?

Health plans from Oscar Health list Sandeep 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 Sandeep Shah was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.