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DR. SHOBANA NATARAJAN M.D.
NPI 1639174394
Internal Medicine in South Plainfield, NJ

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
904 OAK TREE AVE, STE M, SOUTH PLAINFIELD, NJ 07080(908) 757-1414(908) 757-3317 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shobana Natarajan M.d. NPPES

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

DR. SHOBANA NATARAJAN M.D. (NPI 1639174394) is an individual internal medicine provider in South Plainfield, New Jersey, licensed in New Jersey (25MA06910100) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1639174394
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHOBANA NATARAJANCredential: M.D.
Location Address904 OAK TREE AVE, STE MSouth Plainfield, NJ 07080-5126
Mailing Address174 Fleet AveEdison, NJ 08820-2430 · (732) 205-9660
Phone(908) 757-1414
Fax(908) 757-3317
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 17, 2005
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1639174394 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 · 25MA06910100
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.
904 OAK TREE AVE, South Plainfield, NJ 07080
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Other Identifiers 16

Medicare UPINH07139
Other1128842Horizon Nj Health Plan
Medicaid8065004NJ
Other2K3618Healthnet
Medicare PIN033696Q6K
Other3502595Cigna
Other925481Amerihealth Ppo
Other020613322Horizon Bcbs Of Nj
OtherP2752621Oxfrod Health Plan
Other1989550United Healthcare Group
Other3695582Aetna Hmo
Other2590924Ghi
Other870967000Amerihealth Hmo
Other7129105Aetna Ppo
Other1000621400NJ · Americhoice Of Nj
Other216AY1Empire Bcbs

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. Shobana Natarajan M.d. 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 ID5597667170
PECOS Enrollment IDI20040123000620
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
321 services122 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
214 services31 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
135 services15 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
103 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
96 services96 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
90 services90 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 07080 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
45%266 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
8%749 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
65%411 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
37%198 patients2/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
14%198 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
41%198 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
81%1,464 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%817 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
16%250 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%250 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,464 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
52%1,192 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%650 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
98%239 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers36 claims98 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims25 services$0.91 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$2.40 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims8,832 services$0.26 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 19

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

CHIROPRACTIC HEALTH & REHABILITATION CENTER, LLC
Chiropractor
904 OAK TREE AVE, SUITE D
SOUTH PLAINFIELD, NJ 07080
Middlesex County (201) 452-8442
RADHIKA RANGNATH DESHPANDE PT
Physical Therapist
904 OAK TREE AVE, SUITE S
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 756-6555
ADVANCED CHIROPRACTIC AND WELLNESS CENTER
Chiropractor
904 OAK TREE AVE, SUITE 904
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 561-1777
MYRNA GUERRA-DELUNA, MD, PA
Specialist
904 OAK TREE AVE, SUITE B
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 757-8400
CENTER FOR PRIMARY CARE & GASTROENTEROLOGY LLC
Internal Medicine (Gastroenterology)
904 OAK TREE AVE, SUITE D
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 755-3688
ASSOCIATES IN PULMONARY AND INTERNAL MEDICINE, LLC
Clinic/Center (Multi-Specialty)
904 OAK TREE AVE, SUITE E
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 668-7791
GOYAL & NATARAJAN MDS LLC
Internal Medicine
904 OAK TREE AVE, SUITE M
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 757-1414
NUTRITION & DIET CONSULTANTS INC
Dietitian, Registered
904 OAK TREE AVE, SUITE M
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 561-3444

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 Shobana Natarajan's NPI number?

The NPI number for Shobana Natarajan is 1639174394. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Shobana Natarajan located?

Shobana Natarajan practices at 904 Oak Tree Ave Ste M, South Plainfield, NJ 07080. The listed phone number is (908) 757-1414.

What is Shobana Natarajan's specialty?

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

Is Shobana Natarajan enrolled in Medicare?

Yes. Shobana Natarajan 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 Shobana Natarajan accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shobana Natarajan 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 Shobana Natarajan affiliated with any hospitals?

According to CMS data, Shobana Natarajan is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Shobana Natarajan was last updated on January 2, 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.