DHARA SHAH
NPI 1255795613
Internal Medicine - Cardiovascular Disease in Montclair, NJ

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
62 S FULLERTON AVE, MONTCLAIR, NJ 07042(973) 746-8585(973) 746-0088 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dhara Shah NPPES

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

DHARA SHAH (NPI 1255795613) is an individual cardiovascular disease provider in Montclair, New Jersey, licensed in New Jersey (25MB11460800) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1255795613
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDHARA SHAH
Location Address62 S FULLERTON AVEMontclair, NJ 07042-2676
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Fax(973) 746-0088
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 11, 2016
Last NPPES UpdateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1255795613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MB11460800
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
62 S FULLERTON AVE, Montclair, NJ 07042

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

Dhara Shah 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 ID2668764093
PECOS Enrollment IDI20221011001579
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 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
406 services378 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services136 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
72 services70 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
59 services49 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services45 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$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 13

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

Internal Medicine (Cardiovascular Disease)
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Internal Medicine (Cardiovascular Disease)
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Specialist
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Nurse Practitioner
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Internal Medicine (Cardiovascular Disease)
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Dietitian, Registered
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Internal Medicine (Pulmonary Disease)
62 S FULLERTON AVE
MONTCLAIR, NJ 07042
Internal Medicine (Cardiovascular Disease)
62 S FULLERTON AVE
MONTCLAIR, NJ 07042

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 Dhara Shah's NPI number?

The NPI number for Dhara Shah is 1255795613. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Dhara Shah located?

Dhara Shah practices at 62 S Fullerton Ave, Montclair, NJ 07042. The listed phone number is (973) 746-8585.

What is Dhara Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Dhara Shah enrolled in Medicare?

Yes. Dhara Shah 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 Dhara Shah affiliated with any hospitals?

According to CMS data, Dhara Shah is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Dhara Shah was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.