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DR. SHILPA NAREN JADEJA MD
NPI 1316250780
Internal Medicine in Baltimore, MD

Active since July 14, 2010PECOS EnrolledAccepts Medicare Assignment
900 S CATON AVE, BALTIMORE, MD 21229(410) 368-6000 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Shilpa Naren Jadeja Md NPPES

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

DR. SHILPA NAREN JADEJA MD (NPI 1316250780) is an individual internal medicine provider in Baltimore, Maryland, licensed in Florida (ME119466) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1316250780
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHILPA NAREN JADEJACredential: MD
Location Address900 S CATON AVEBaltimore, MD 21229-5201
Mailing Address31 Oak Shadows CtCatonsville, MD 21228-2406 · (941) 726-8457
Phone(410) 368-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 14, 2010
Last NPPES UpdateNovember 1, 2017
✔ NPI 1316250780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME119466✔ Licensed in MD · P24061
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
900 S CATON AVE, Baltimore, MD 21229
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shilpa Naren Jadeja Md 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 ID3870759269
PECOS Enrollment IDI20231114003291
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

2

Medicare enrollment records show Shilpa Jadeja reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakewood Ranch Enterprises LLC
884 mi
Hospitalist
8330 LAKEWOOD RANCH BLVD
Lakewood Ranch, FL 34202
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1881477412 (941) 290-5400
Mda Anesthesia, LLC
895 mi
Anesthesiology
39200 HOOKER HWY
Belle Glade, FL 33430
  • Reassigned Medicare billing, Florida enrollment
  • 27 clinicians in this Medicare group
NPI 1336784115 (561) 707-9149

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

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
303 services172 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
244 services131 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
92 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services87 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
74 services70 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
70 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Lakewood Ranch Medical Center

Acute Care Hospitals · Bradenton, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100299
Location8330 Lakewood Ranch BlvdBradenton, FL 34202 · Manatee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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…
100%157 patients5/55-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 suppliers18 claims18 services$71.55 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 20

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

MRS. VICTORIA VOLTA MANGER CRNA
Nurse Anesthetist, Certified Registered
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-3045
DR. LISA N GRIMALDI M.D.
Internal Medicine
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (410) 368-6000
MRS. EMILY MARIE COCO LCSW-C
Social Worker (Clinical)
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (443) 240-7575
OBINNA MADU MD
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-2718
STEPHANIE AGUILAR PA-C
Physician Assistant
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-6000
DR. BERSABEL HILAWI TEWODROS MD
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-5724
AARATI THAKUR MD
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-6000
AASTHA PRADHAN
Student in an Organized Health Care Education/Training Program
900 S CATON AVE
BALTIMORE, MD 21229
Baltimore City (667) 234-6000

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 Shilpa Jadeja's NPI number?

The NPI number for Shilpa Jadeja is 1316250780. It was assigned to this individual provider in the NPPES registry on July 14, 2010.

Where is Shilpa Jadeja located?

Shilpa Jadeja practices at 900 S Caton Ave, Baltimore, MD 21229. The listed phone number is (410) 368-6000.

What is Shilpa Jadeja's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shilpa Jadeja enrolled in Medicare?

Yes. Shilpa Jadeja 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.

Which organizations bill Medicare for Shilpa Jadeja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Jadeja reassigns Medicare benefits to 2 organizations: Lakewood Ranch Enterprises LLC (Lakewood Ranch, FL) and Mda Anesthesia, LLC (Belle Glade, FL). 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 Shilpa Jadeja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa Jadeja accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Shilpa Jadeja 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.

Is Shilpa Jadeja affiliated with any hospitals?

According to CMS data, Shilpa Jadeja is affiliated with Sarasota Memorial Hospital and Lakewood Ranch Medical Center.

When was this NPI record last updated?

The NPPES record for Shilpa Jadeja was last updated on November 1, 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.