DHIREN ASHWINBHAI SHAH MD
NPI 1548627102
Internal Medicine in Brick, NJ

Active since January 26, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
425 JACK MARTIN BLVD, BRICK, NJ 08724(732) 836-4817 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017, Sep 14, 2016 and 1 more (4 updates tracked since 2016).

About Dhiren Ashwinbhai Shah Md NPPES

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

DHIREN ASHWINBHAI SHAH MD (NPI 1548627102) is an individual internal medicine provider in Brick, New Jersey, licensed in New Jersey (25MA09868700) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1548627102
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDHIREN ASHWINBHAI SHAHCredential: MD
Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732
Mailing Address425 Jack Martin Blvd.Brick, NJ 08724 · (732) 836-4817 · Fax (732) 836-4818
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 26, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1548627102 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 · 25MA09868700
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.
425 JACK MARTIN BLVD, Brick, NJ 08724

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

Dhiren Ashwinbhai 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 ID9638465834
PECOS Enrollment IDI20160915000183
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 5

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.
625 services269 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.
396 services209 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.
209 services207 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.
203 services200 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean 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

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$1.68 avg. paid by Medicare
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
2 suppliers37 claims37 services$61.40 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers37 claims37 services$30.66 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.

Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724

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 Dhiren Shah's NPI number?

The NPI number for Dhiren Shah is 1548627102. It was assigned to this individual provider in the NPPES registry on January 26, 2016.

Where is Dhiren Shah located?

Dhiren Shah practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 836-4817.

What is Dhiren Shah's specialty?

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

Is Dhiren Shah enrolled in Medicare?

Yes. Dhiren 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.

Is Dhiren Shah affiliated with any hospitals?

According to CMS data, Dhiren Shah is affiliated with Community Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Dhiren Shah was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.