POOJA SHAH MD
NPI 1477953123
Internal Medicine - Infectious Disease in Edison, NJ
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 Jersey Shore University Medical Center, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Pooja Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Pooja Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pooja Shah reassigns Medicare benefits to 2 organizations: Dr Pooja P Shah Mdpc Inc (Edison, NJ) and Pradip A. Shah, M.D. P.C. (Edison, NJ). 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 Pooja Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Jersey Shore University Medical Center and 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.
# Pooja Shah, MD · NPI 1477953123
Infectious Disease physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since September 1, 2014.
## Identity
- **NPI:** 1477953123 (Entity type: Individual)
- **Enumerated:** September 1, 2014
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 25MA09562000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1964 OAK TREE RD, Edison, NJ 08820-2016
- **Phone:** (732) 635-0050
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dr Pooja P Shah Mdpc Inc (NPI 1285146845, Edison, NJ); Pradip A. Shah, M.D. P.C. (NPI 1235455098, Edison, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1477953123) · Data from the CMS NPPES public registry.