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POOJA SHAH MD
NPI 1477953123
Internal Medicine - Infectious Disease in Edison, NJ

Active since September 01, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1964 OAK TREE RD, EDISON, NJ 08820(732) 635-0050 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Oct 16, 2017, May 10, 2017 (3 updates tracked since 2017).

About Pooja Shah Md NPPES

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

POOJA SHAH MD (NPI 1477953123) is an individual infectious disease provider in Edison, New Jersey, licensed in New Jersey (25MA09562000) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477953123
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NamePOOJA SHAHCredential: MD
Location Address1964 OAK TREE RDEdison, NJ 08820-2016
Mailing Address1964 Oak Tree Road, Suite BEdison, NJ 08820
Phone(732) 635-0050
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 1, 2014
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1477953123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA09562000
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1964 OAK TREE RD, Edison, NJ 08820
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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

Pooja 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 ID941508816
PECOS Enrollment IDI20170403002300
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 4

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 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.
974 services255 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
323 services94 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.
308 services117 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.
154 services138 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

PRADIP A. SHAH, M.D. P.C.
Internal Medicine (Infectious Disease)
1964 OAK TREE RD
EDISON, NJ 08820
Middlesex County (732) 635-0050
PRADIP A SHAH MD
Internal Medicine (Infectious Disease)
1964 OAK TREE RD
EDISON, NJ 08820
Middlesex County (732) 635-0050

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 Pooja Shah's NPI number?

The NPI number for Pooja Shah is 1477953123. It was assigned to this individual provider in the NPPES registry on September 1, 2014.

Where is Pooja Shah located?

Pooja Shah practices at 1964 Oak Tree Rd, Edison, NJ 08820. The listed phone number is (732) 635-0050.

What is Pooja Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Pooja Shah enrolled in Medicare?

Yes. Pooja 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 Pooja Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pooja 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 Pooja Shah affiliated with any hospitals?

According to CMS data, Pooja Shah is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Shah was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.