NIHIR BIHARILAL SHAH MD
NPI 1346332194
Internal Medicine - Cardiovascular Disease in New Brunswick, NJ

Q: What is Nihir Shah's NPI number?

The NPI number for Nihir Shah is 1346332194. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Nihir Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nihir Shah was last updated on May 10, 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.

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

317 GEORGE ST, SUITE 440, NEW BRUNSWICK, NJ 08901(732) 994-3278(732) 354-3181 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nihir Biharilal Shah Md NPPES

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

NIHIR BIHARILAL SHAH MD (NPI 1346332194) is an individual cardiovascular disease provider in New Brunswick, New Jersey, licensed in New Jersey (MA66848) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1346332194

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameNIHIR BIHARILAL SHAHCredential: MD

Location Address317 GEORGE ST, SUITE 440New Brunswick, NJ 08901-2008

Mailing Address317 George St, Suite 440New Brunswick, NJ 08901-2008 · (732) 994-3278 · Fax (732) 354-3181

Phone(732) 994-3278

Fax(732) 354-3181

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 29, 2006

Last NPPES UpdateMay 10, 2016

✔ NPI 1346332194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · MA66848

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MA66848 (NJ)

317 GEORGE ST, New Brunswick, NJ 08901

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Other Identifiers 2

Medicare UPING74324

Medicare ID-Type Unspecified011665A5P

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Nihir Biharilal Shah 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 ID9133184823

PECOS Enrollment IDI20101030000004

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 20

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 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.

471 services287 patients

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.

467 services299 patients

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.

381 services348 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.

109 services108 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

100 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

84 services82 patients

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.

83 services51 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.

56 services32 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.

48 services48 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.

34 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services29 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

25 services24 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

21 services21 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

15 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services13 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.

15 services15 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

14 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310048

Location110 Rehill AveSomerville, NJ 08876 · Somerset County

Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310070

Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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.

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.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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.

JUYEON PARK M.D.

Family Medicine

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-8993

MICHAEL SONG MD

Family Medicine

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7667

SABEEN ROKERYA

Student in an Organized Health Care Education/Training Program

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7664

DR. DANIEL W SIMON M.D.

Radiology (Vascular & Interventional Radiology)

317 GEORGE ST, SUITE 415
NEW BRUNSWICK, NJ 08901

Middlesex County (917) 716-1567

HYACINTH FOUNDATION A NEW JERSEY NONPROFIT CORPORATION

Internal Medicine (Infectious Disease)

317 GEORGE ST, SUITE 203
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 246-0204

MARTICA BENNETT

Home Health

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 823-2047

RICHARD CHEN MD

Student in an Organized Health Care Education/Training Program

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (908) 342-5121

TALIA PARADISO

Student in an Organized Health Care Education/Training Program

317 GEORGE ST
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-8993

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 Nihir Shah's NPI number?

The NPI number for Nihir Shah is 1346332194. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Nihir Shah located?

Nihir Shah practices at 317 George St Suite 440, New Brunswick, NJ 08901. The listed phone number is (732) 994-3278.

What is Nihir Shah's specialty?

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

Is Nihir Shah enrolled in Medicare?

Yes. Nihir 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.

What insurance does Nihir Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nihir 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.

Is Nihir Shah affiliated with any hospitals?

According to CMS data, Nihir Shah is affiliated with Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Nihir Shah was last updated on May 10, 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.