MS. KALPANA SHETH PA-C
NPI 1235569781
Physician Assistant in East Orange, NJ

Active since November 20, 2013PECOS EnrolledAccepts Medicare Assignment
300 CENTRAL AVE, EAST ORANGE, NJ 07018(973) 266-8474 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kalpana Sheth Pa-c NPPES

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

MS. KALPANA SHETH PA-C (NPI 1235569781) is an individual physician assistant in East Orange, New Jersey, licensed in New Jersey (25MP00323600) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235569781
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KALPANA SHETHCredential: PA-C
Location Address300 CENTRAL AVEEast Orange, NJ 07018-2819
Mailing Address300 Central AveEast Orange, NJ 07018-2819 · (973) 266-8474
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 20, 2013
NPI 1235569781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00323600
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 CENTRAL AVE, East Orange, NJ 07018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Kalpana Sheth Pa-c 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 ID4981828928
PECOS Enrollment IDI20140613001790
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.

Areas of Expertise CMS Part B claims 3

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 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.
32 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Anesthesiology
300 CENTRAL AVE
EAST ORANGE, NJ 07018
General Acute Care Hospital
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Social Worker
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Psychiatry & Neurology (Psychiatry)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Emergency Medicine
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
300 CENTRAL AVE
EAST ORANGE, NJ 07018
Physician Assistant
300 CENTRAL AVE
EAST ORANGE, NJ 07018

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 Kalpana Sheth's NPI number?

The NPI number for Kalpana Sheth is 1235569781. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Kalpana Sheth located?

Kalpana Sheth practices at 300 Central Ave, East Orange, NJ 07018. The listed phone number is (973) 266-8474.

What is Kalpana Sheth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kalpana Sheth enrolled in Medicare?

Yes. Kalpana Sheth 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.

Is Kalpana Sheth affiliated with any hospitals?

According to CMS data, Kalpana Sheth is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kalpana Sheth was last updated on November 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.