DR. SANJAY R SHAH MD. MBBS
NPI 1568624302
Internal Medicine - Nephrology in Wayne, NJ

Q: What is Sanjay Shah's NPI number?

The NPI number for Sanjay Shah is 1568624302. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Q: What is Sanjay Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Shah was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment

246 HAMBURG TPKE, SUITE 207, WAYNE, NJ 07470(713) 294-7344 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sanjay R Shah Md. Mbbs NPPES

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

DR. SANJAY R SHAH MD. MBBS (NPI 1568624302) is an individual nephrology provider in Wayne, New Jersey, licensed in New Jersey (25MA08671900) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1568624302

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SANJAY R SHAHCredential: MD. MBBS

Location Address246 HAMBURG TPKE, SUITE 207Wayne, NJ 07470-2156

Mailing Address246 Hamburg Tpke, Suite 207Wayne, NJ 07470-2156 · (713) 294-7344

Phone(713) 294-7344

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 1, 2008

Last NPPES UpdateJanuary 22, 2015

✔ NPI 1568624302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NJ · 25MA08671900

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

246 HAMBURG TPKE, Wayne, NJ 07470

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Other Identifiers 3

Medicaid0223425NJ

Other177336ACQNJ · Medicare Ptan

Other286040YQ5NTX · Medicare

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

Dr. Sanjay R Shah Md. Mbbs 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 ID6002944675

PECOS Enrollment IDI20100503000729

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 20

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

209 services66 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

202 services79 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

201 services88 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.

182 services112 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

109 services43 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

52 services34 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

38 services28 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

31 services23 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

24 services24 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

22 services18 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

22 services19 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

19 services17 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.

19 services19 patients

Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm 12002

This is a procedure to mend a surface wound measuring between 2.6-7.5 cm on your scalp, neck, underarms, trunk, arms, or legs. It involves cleaning, closing and dressing the wound to promote healing and prevent infection.

18 services18 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

18 services16 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

17 services14 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

16 services16 patients

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.

13 services13 patients

Injection for x-ray imaging procedure into vein of arm or leg 36005

This procedure involves injecting a contrast material into a vein in your arm or leg. This helps to enhance the quality of X-ray images, making it easier to see and understand the condition of your veins and tissues. It's generally safe and quick.

11 services11 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310050

Location25 Pocono RoadDenville, NJ 07834 · Morris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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.

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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.

DR. BARRY SCHAIR M.D.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

GARY J DRILLINGS MD

Specialist

246 HAMBURG TPKE, SUITE-301
WAYNE, NJ 07470

Passaic County (973) 689-6266

DR. SAMEER ANOR AZHAK M.D.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

NORTH JERSEY PHYSICAL THERAPY GROUP LLC

Clinic/Center (Physical Therapy)

246 HAMBURG TPKE, SUITE 303
WAYNE, NJ 07470

Passaic County (973) 720-1110

DR. MICHAEL P BIEHL M.D., F.A.C.C.

Internal Medicine (Clinical Cardiac Electrophysiology)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

DR. HARJINDER SINGH SAINI MD

Internal Medicine (Nephrology)

246 HAMBURG TPKE, SUITE#207
WAYNE, NJ 07470

Passaic County (973) 653-3366

DR. DONNA MARIE KONLIAN M.D., F.A.C.C.

Internal Medicine (Cardiovascular Disease)

246 HAMBURG TPKE, SUITE 201
WAYNE, NJ 07470

Passaic County (973) 942-1141

DR. CHNADRA B CHANDRAN MD

Internal Medicine (Nephrology)

246 HAMBURG TPKE
WAYNE, NJ 07470

Passaic County (973) 653-3366

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 Sanjay Shah's NPI number?

The NPI number for Sanjay Shah is 1568624302. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Sanjay Shah located?

Sanjay Shah practices at 246 Hamburg Tpke Suite 207, Wayne, NJ 07470. The listed phone number is (713) 294-7344.

What is Sanjay Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sanjay Shah enrolled in Medicare?

Yes. Sanjay 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 Sanjay Shah accept?

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

According to CMS data, Sanjay Shah is affiliated with St Mary's General Hospital, Chilton Medical Center, St Joseph's University Medical Center Inc and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Sanjay Shah was last updated on January 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.