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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHILPAN H SHAH M.D.
NPI 1508061623
Internal Medicine in Long Branch, NJ

Active since June 19, 2007PECOS Enrolled
93.71/100
CMS Quality Rating
300 2ND AVE, LONG BRANCH, NJ 07740(732) 222-5200 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shilpan H Shah M.d. NPPES

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

SHILPAN H SHAH M.D. (NPI 1508061623) is an individual internal medicine provider in Long Branch, New Jersey, licensed in New Jersey (25MA08262300) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1508061623
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHILPAN H SHAHCredential: M.D.
Location Address300 2ND AVELong Branch, NJ 07740-6303
Mailing Address300 2nd AveLong Branch, NJ 07740-6303
Phone(732) 222-5200
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJune 19, 2007
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1508061623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08262300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 2ND AVE, Long Branch, NJ 07740
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shilpan H Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860587714
PECOS Enrollment IDI20071008000052
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Shilpan Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Internal Medicine
300 2ND AVE
Long Branch, NJ 07740
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1932187895 (732) 923-6696
Shilpan Shah MD LLC
5.5 mi
Internal Medicine
28 BENTLEY LN
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1548112667 (732) 642-9288
Nj Shore Hospitalists LLC
18 mi
Hospitalist
901 WEST MAIN STREET, #307, BLDG B
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1528618055 (732) 428-7025
Barnabas Health Medical Group PC
28 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rwjbh Emergency Medicine Associates, LLC
33 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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 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.

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.
2,208 services578 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
452 services424 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.
416 services197 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
229 services211 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.
218 services209 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.
157 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07740 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers41 claims44 services$59.78 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims39 services$30.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEXANDRA M LASKOWSKI M.D.
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
FLORENCE ARMOUR APN
Nurse Practitioner (Adult Health)
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-6635
MICHELLE WOODFIELD MD
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 923-7251
DR. KARAN JAYESHKUMAR YAGNIK MD
Internal Medicine
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (440) 403-5523
JULIE A CONTE CRNA
Nurse Anesthetist, Certified Registered
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
KATHLEEN STANIER NP
Nurse Practitioner
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (732) 222-5200
MICHAEL EAGAN MD
Emergency Medicine
300 2ND AVE, MONMOUTH MEDICAL CENTER
LONG BRANCH, NJ 07740
Monmouth County (732) 923-8882
DR. TEE YIN TRACY TEO D.O
Student in an Organized Health Care Education/Training Program
300 2ND AVE
LONG BRANCH, NJ 07740
Monmouth County (631) 726-0409

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 Shilpan Shah's NPI number?

The NPI number for Shilpan Shah is 1508061623. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Shilpan Shah located?

Shilpan Shah practices at 300 2nd Ave, Long Branch, NJ 07740. The listed phone number is (732) 222-5200.

What is Shilpan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shilpan Shah enrolled in Medicare?

Yes. Shilpan Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shilpan Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpan Shah reassigns Medicare benefits to 5 organizations: (Long Branch, NJ), Shilpan Shah MD LLC (Ocean, NJ), Nj Shore Hospitalists LLC (Freehold, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Shilpan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpan Shah accept?

Health plans from Oscar Health list Shilpan 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 Shilpan Shah affiliated with any hospitals?

According to CMS data, Shilpan Shah is affiliated with Riverview Medical Center, Robert Wood Johnson University Hospital, Jersey Shore University Medical Center, Monmouth Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Shilpan Shah was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.