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MRS. RADHA A SHAH APN
NPI 1336547801
Nurse Practitioner in Highland Park, NJ

Active since December 15, 2014PECOS EnrolledAccepts Medicare Assignment
94.14/100
CMS Quality Rating
18 N 3RD AVE, HIGHLAND PARK, NJ 08904(732) 545-0094 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Radha A Shah Apn NPPES

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

MRS. RADHA A SHAH APN (NPI 1336547801) is an individual nurse practitioner in Highland Park, New Jersey, licensed in New Jersey (26NJ00540500) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336547801
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. RADHA A SHAHCredential: APN
Location Address18 N 3RD AVEHighland Park, NJ 08904-2408
Mailing Address18 N 3rd AveHighland Park, NJ 08904-2408 · (732) 545-0094
Phone(732) 545-0094
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 15, 2014
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1336547801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00540500
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
18 N 3RD AVE, Highland Park, NJ 08904
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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

Mrs. Radha A Shah Apn 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 ID5799053310
PECOS Enrollment IDI20170622000757
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
716 services163 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
528 services138 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
141 services132 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08904 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
$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.

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.

94.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost73.83

Other Providers at the Same Location NPPES 12

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

DR. SAVITHRI B BONALA M D
Allergy & Immunology
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 545-0094
DR. MICHAEL SCHWARTZ O.D.
Optometrist
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 993-1111
DR.MICHAEL F. SCHWARTZ OPTOMETRIST PC
Optometrist
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 993-1111
SHIVANI PATEL
Physician Assistant
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 545-0094
DANIELLE MONTEIRO P.A.
Physician Assistant
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 545-0094
FARIHA MALEK
Nurse Practitioner
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 545-0094
DR. CHANI MILLER O.D.
Optometrist
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 993-1111
SHINJINI BOSE OD
Optometrist
18 N 3RD AVE
HIGHLAND PARK, NJ 08904
Middlesex County (732) 993-1111

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 Radha Shah's NPI number?

The NPI number for Radha Shah is 1336547801. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Radha Shah located?

Radha Shah practices at 18 N 3rd Ave, Highland Park, NJ 08904. The listed phone number is (732) 545-0094.

What is Radha Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Radha Shah enrolled in Medicare?

Yes. Radha 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.

When was this NPI record last updated?

The NPPES record for Radha Shah was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.