DR. SHAHIN MICHAEL MIRMANESH M.D.
NPI 1679505325
Specialist in Marlton, NJ

Q: What is Shahin Mirmanesh's NPI number?

The NPI number for Shahin Mirmanesh is 1679505325. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Shahin Mirmanesh's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Shahin Mirmanesh was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 06, 2006PECOS EnrolledAccepts Medicare Assignment

18/100

CMS Quality Rating

12000 LINCOLN DR W, SUITE 405, MARLTON, NJ 08053(856) 985-0203(856) 985-0010 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Shahin Michael Mirmanesh M.d. NPPES

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

DR. SHAHIN MICHAEL MIRMANESH M.D. (NPI 1679505325) is an individual specialist in Marlton, New Jersey, licensed in New Jersey (25MA06992000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1679505325

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SHAHIN MICHAEL MIRMANESHCredential: M.D.

Location Address12000 LINCOLN DR W, SUITE 405Marlton, NJ 08053-3402

Mailing Address1 Star Splitter CtVoorhees, NJ 08043-9517 · (856) 985-0203 · Fax (856) 985-0010

Phone(856) 985-0203

Fax(856) 985-0010

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateJuly 6, 2006

Last NPPES UpdateSeptember 23, 2010

✔ NPI 1679505325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NJ · 25MA06992000

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12000 LINCOLN DR W, Marlton, NJ 08053

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Other Identifiers 3

Medicaid8584800NJ

Medicare ID-Type Unspecified031442NJ

Medicare UPINH04331NJ

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. Shahin Michael Mirmanesh 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 ID1052203106

PECOS Enrollment IDI20040325000775

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 15

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.

743 services341 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

287 services190 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.

195 services195 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

103 services103 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

103 services103 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

60 services60 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

58 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

55 services47 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

49 services26 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

48 services48 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

40 services19 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

29 services24 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

21 services21 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

17 services14 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ

1/5 CMS rating

OwnershipGovernment - State

CMS Certification Number310029

Location1600 Haddon AvenueCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

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.

18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

60.01

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

20 suppliers39 claims80 services$6.05 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers19 claims22 services$0.99 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers18 claims18 services$187.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

DR. NADIA CHAUDHRY M.D.

Legal Medicine

12000 LINCOLN DR W
MARLTON, NJ 08053

Burlington County (856) 988-8230

KATHLEEN MARIE DEAN LCSW

Social Worker (Clinical)

12000 LINCOLN DR W, SUITE 407
MARLTON, NJ 08053

Burlington County (856) 985-3404

THE EB WELLNESS CENTER

Social Worker (Clinical)

12000 LINCOLN DR W, SUITE 405
MARLTON, NJ 08053

Burlington County (865) 830-1185

DR. GREGORY WILLIAM JOSEPH PSY.D.

Psychologist (Clinical)

12000 LINCOLN DR W, SUITE 105
MARLTON, NJ 08053

Burlington County (856) 797-0791

CENTER FOR PEDIATRICS ADOLESCENT AND ADULT MEDICINE OF SNJ PA

Pediatrics

12000 LINCOLN DR W, SUITE 311
MARLTON, NJ 08053

Burlington County (856) 985-8100

STEPHEN FALKOWSKI, DO PA

Family Medicine

12000 LINCOLN DR W, SUITE 309
MARLTON, NJ 08053

Burlington County (856) 985-4600

UNITY CARE MEDICAL GROUP, LLC

Pediatrics

12000 LINCOLN DR W, SUITE 311
MARLTON, NJ 08053

Burlington County (856) 985-8100

DR. BRYAN C RUSSELL DC

Chiropractor

12000 LINCOLN DR W, SUITE 304
MARLTON, NJ 08053

Burlington County (856) 983-4499

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 Shahin Mirmanesh's NPI number?

The NPI number for Shahin Mirmanesh is 1679505325. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Shahin Mirmanesh located?

Shahin Mirmanesh practices at 12000 Lincoln Dr W Suite 405, Marlton, NJ 08053. The listed phone number is (856) 985-0203.

What is Shahin Mirmanesh's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shahin Mirmanesh enrolled in Medicare?

Yes. Shahin Mirmanesh 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 Shahin Mirmanesh affiliated with any hospitals?

According to CMS data, Shahin Mirmanesh is affiliated with Cooper University Hospital, West Jersey Hospital and Virtua Our Lady Of Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Shahin Mirmanesh was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.