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SHAILJA KAUL M.D.
NPI 1780841270
Internal Medicine - Endocrinology, Diabetes & Metabolism in Langhorne, PA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
96.19/100
CMS Quality Rating
174 MIDDLETOWN BLVD STE 304, LANGHORNE, PA 19047(215) 757-2359(215) 478-8026 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2018, Mar 21, 2016 (2 updates tracked since 2016).

About Shailja Kaul M.d. NPPES

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

SHAILJA KAUL M.D. (NPI 1780841270) is an individual endocrinology, diabetes & metabolism provider in Langhorne, Pennsylvania, licensed in Pennsylvania (430791) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Lower Bucks Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1780841270
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHAILJA KAULCredential: M.D.
Location Address174 MIDDLETOWN BLVD STE 304Langhorne, PA 19047
Mailing Address174 Middletown Blvd Ste 304Langhorne, PA 19047-3201 · (215) 757-2359 · Fax (215) 478-8026
Phone(215) 757-2359
Fax(215) 478-8026
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 21, 2008
Last NPPES UpdateSeptember 12, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1780841270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in PA · 430791✔ Licensed in NJ · 25MA08824900✔ Licensed in PA · MT183122
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
174 MIDDLETOWN BLVD STE 304, Langhorne, PA 19047
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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

Shailja Kaul 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 ID749462117
PECOS Enrollment IDI20160721000185
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 7

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.
541 services371 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.
148 services67 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.
131 services120 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
111 services85 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.
60 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390070
Location501 Bath RoadBristol, PA 19007 · Bucks County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

96.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.39
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%587 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
56%488 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%543 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
92%2,199 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%1,324 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 610 patients
Patients screened: 96% · 610 patients
98%40 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers23 claims293 services$17.96 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers21 claims705 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
56 suppliers230 claims861 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers106 claims191 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers36 claims36 services$292.65 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers13 claims1,340 services$7.36 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 2

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

KRISTEN AYRER CRNP- AGPCNP
Nurse Practitioner (Gerontology)
174 MIDDLETOWN BLVD STE 304
LANGHORNE, PA 19047
Bucks County (215) 757-2359
ENDOCRINOLOGY SPECIALISTS OF BUCKS LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
174 MIDDLETOWN BLVD STE 304
LANGHORNE, PA 19047
Bucks County (215) 757-2359

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 Shailja Kaul's NPI number?

The NPI number for Shailja Kaul is 1780841270. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Shailja Kaul located?

Shailja Kaul practices at 174 Middletown Blvd Ste 304, Langhorne, PA 19047. The listed phone number is (215) 757-2359.

What is Shailja Kaul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shailja Kaul enrolled in Medicare?

Yes. Shailja Kaul 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 Shailja Kaul affiliated with any hospitals?

According to CMS data, Shailja Kaul is affiliated with Lower Bucks Hospital, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Shailja Kaul was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.