SEEMA MAHESH SHAH O.D.
NPI 1396178505
Optometrist in West Caldwell, NJ

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment
90.79/100
CMS Quality Rating
195 FAIRFIELD AVE, SUITE 4B, WEST CALDWELL, NJ 07006(973) 228-4990(732) 698-9462 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seema Mahesh Shah O.d. NPPES

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

SEEMA MAHESH SHAH O.D. (NPI 1396178505) is an individual optometrist in West Caldwell, New Jersey, licensed in New Jersey (27OA00649900) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2013).

NPPES Registry Identity

NPI1396178505
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSEEMA MAHESH SHAHCredential: O.D.
Location Address195 FAIRFIELD AVE, SUITE 4BWest Caldwell, NJ 07006
Mailing Address195 Fairfield Ave, Suite 4bWest Caldwell, NJ 07006 · (973) 228-4990 · Fax (732) 698-9462
Fax(732) 698-9462
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 2013
Enumeration DateAugust 12, 2013
Last NPPES UpdateDecember 8, 2016
NPI 1396178505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NJ · 27OA00649900
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

195 FAIRFIELD AVE, West Caldwell, NJ 07006

Other Names 1

Former Name (1)Seema Mahesh Shroff O.d.

Accepted 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

Seema Mahesh Shah O.d. 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 ID9739323312
PECOS Enrollment IDI20130920000679
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
83 services82 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
61 services53 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
55 services54 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
37 services37 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services28 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07006 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.

90.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.51
Promoting Interoperability100
Improvement Activities40
Cost69.8

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Dental)
195 FAIRFIELD AVE, SUITE 3A
WEST CALDWELL, NJ 07006
Ophthalmology
195 FAIRFIELD AVE, SUITE 4B
WEST CALDWELL, NJ 07006
Dentist
195 FAIRFIELD AVE, SUITE #3A
WEST CALDWELL, NJ 07006
Ophthalmology
195 FAIRFIELD AVE, SUITE 4B
WEST CALDWELL, NJ 07006
Dentist (General Practice)
195 FAIRFIELD AVE, SUITE 3A
WEST CALDWELL, NJ 07006

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 Seema Shah's NPI number?

The NPI number for Seema Shah is 1396178505. It was assigned to this individual provider in the NPPES registry on August 12, 2013. The provider is also known as Seema Mahesh Shroff O.D..

Where is Seema Shah located?

Seema Shah practices at 195 Fairfield Ave Suite 4B, West Caldwell, NJ 07006. The listed phone number is (973) 228-4990.

What is Seema Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Seema Shah enrolled in Medicare?

Yes. Seema 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 Seema Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Seema 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.

When was this NPI record last updated?

The NPPES record for Seema Shah was last updated on December 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.