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

DR. APEKSHA ALICEA MD
NPI 1689930257
Internal Medicine - Gastroenterology in Camden, NJ

Active since April 08, 2012PECOS Enrolled
81.71/100
CMS Quality Rating
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2000 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Aug 9, 2018 (2 updates tracked since 2018).

About Dr. Apeksha Alicea Md NPPES

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

DR. APEKSHA ALICEA MD (NPI 1689930257) is an individual gastroenterology provider in Camden, New Jersey, licensed in New Jersey (25MA10176200) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1689930257
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. APEKSHA ALICEACredential: MD
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 8, 2012
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1689930257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA10176200
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1 COOPER PLZ, Camden, NJ 08103

Other Names 1

Former Name (1)Apeksha Shah

Secondary Practice Location 1

Location 1833 Chestnut St, Suite 701Philadelphia, PA 19107-4414 · Phone (215) 955-6180 · Fax (215) 955-6410

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Apeksha Alicea 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 ID8628201878
PECOS Enrollment IDI20180307002721
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 Reassignment

Medicare enrollment records show Apeksha Alicea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
3 COOPER PLAZA, SUITE 215
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 399 clinicians in this Medicare group

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.

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.
116 services78 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services51 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
50 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 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.
42 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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.

81.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.07
Promoting Interoperability100
Improvement Activities40
Cost55.39

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.

Emergency Medicine
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103

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 Apeksha Alicea's NPI number?

The NPI number for Apeksha Alicea is 1689930257. It was assigned to this individual provider in the NPPES registry on April 8, 2012. The provider is also known as Apeksha Shah.

Where is Apeksha Alicea located?

Apeksha Alicea practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2000.

What is Apeksha Alicea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Apeksha Alicea enrolled in Medicare?

Yes. Apeksha Alicea 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.

Which organization bills Medicare for Apeksha Alicea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Apeksha Alicea reassigns Medicare benefits to Cmc Department Of Medicine Group PA (Camden, NJ). The 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 Apeksha Alicea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Apeksha Alicea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Apeksha Alicea 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 Apeksha Alicea affiliated with any hospitals?

According to CMS data, Apeksha Alicea is affiliated with Cape Regional Medical Center Inc and Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Apeksha Alicea was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.