DR. AVNEE SHAH M.D.
NPI 1750600656
Dermatology in West Orange, NJ

Q: What is Avnee Shah's NPI number?

The NPI number for Avnee Shah is 1750600656. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Q: What is Avnee Shah's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Avnee Shah was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 18, 2010PECOS EnrolledAccepts Medicare Assignment

88.95/100

CMS Quality Rating

347 MOUNT PLEASANT AVE, SUITE 205, WEST ORANGE, NJ 07052(973) 571-2121(973) 498-0512 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Avnee Shah M.d. NPPES

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

DR. AVNEE SHAH M.D. (NPI 1750600656) is an individual dermatology provider in West Orange, New Jersey, licensed in New Jersey (25MA09532000) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1750600656

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. AVNEE SHAHCredential: M.D.

Location Address347 MOUNT PLEASANT AVE, SUITE 205West Orange, NJ 07052-2744

Mailing Address347 Mount Pleasant Ave, Suite 205West Orange, NJ 07052-2744 · (973) 571-2121 · Fax (973) 498-0512

Phone(973) 571-2121

Fax(973) 498-0512

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 18, 2010

Last NPPES UpdateAugust 7, 2023

NPPES CertifiedAugust 7, 2023

✔ NPI 1750600656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NJ · 25MA09532000

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT197434 (PA)

347 MOUNT PLEASANT AVE, West Orange, NJ 07052

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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. Avnee Shah 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 ID7911127550

PECOS Enrollment IDI20141003000386

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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

339 services60 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.

279 services231 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

110 services87 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

91 services82 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

75 services66 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.

48 services45 patients

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.

46 services44 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

39 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

18 services16 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

15 services13 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

14 services14 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

88.95/100

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

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

100%409 patients5/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

77%353 patients4/55-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.

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.

MICHELE COLON APN-C

Nurse Practitioner (Acute Care)

347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

SUJELIS PEREZ PA-C

Physician Assistant

347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

ARTHUR C TUTELA II MD PA

Ophthalmology

347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052

Essex County (973) 669-1240

MRS. GARLAND LEE PA

Physician Assistant (Medical)

347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

DR. ARTHUR C TUTELA II M.D.

Ophthalmology

347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052

Essex County (973) 669-1240

MICHELLE ITIDIARE

Nurse Practitioner (Family)

347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052

Essex County (908) 420-1361

MARC ABBATE MD

Dermatology

347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052

Essex County (973) 571-2121

VASCULAR ACCESS CENTER OF WEST ORANGE, LLC

Radiology (Vascular & Interventional Radiology)

347 MOUNT PLEASANT AVE, SUITE 100
WEST ORANGE, NJ 07052

Essex County (215) 382-3680

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 Avnee Shah's NPI number?

The NPI number for Avnee Shah is 1750600656. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Avnee Shah located?

Avnee Shah practices at 347 Mount Pleasant Ave Suite 205, West Orange, NJ 07052. The listed phone number is (973) 571-2121.

What is Avnee Shah's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Avnee Shah enrolled in Medicare?

Yes. Avnee 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 Avnee Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Avnee 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.

When was this NPI record last updated?

The NPPES record for Avnee Shah was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.