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DR. NADIA SHAH DPM
NPI 1801282108
Podiatrist in East Brunswick, NJ

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
172 SUMMERHILL RD STE 2, EAST BRUNSWICK, NJ 08816(561) 271-6593 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2021, Nov 19, 2017, Aug 28, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Nadia Shah Dpm NPPES

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

DR. NADIA SHAH DPM (NPI 1801282108) is an individual podiatrist in East Brunswick, New Jersey, licensed in New Jersey (25MD00336800) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1801282108
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. NADIA SHAHCredential: DPM
Location Address172 SUMMERHILL RD STE 2East Brunswick, NJ 08816-4911
Mailing Address172 Summerhill Rd Ste 2East Brunswick, NJ 08816-4911 · (732) 944-0200 · Fax (732) 276-4999
Phone(561) 271-6593
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2014
Enumeration DateApril 13, 2015
Last NPPES UpdateAugust 19, 20214 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1801282108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · 25MD00336800
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X · License 25MD00336800 (NJ)
Also ListedPodiatrist · Sports MedicineTaxonomy 213ES0000X · License 25MD00336800 (NJ)
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 25MD00336800 (NJ)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 25MD00336800 (NJ)
172 SUMMERHILL RD STE 2, East Brunswick, NJ 08816
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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, Oscar Health.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. Nadia Shah Dpm 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 ID547527616
PECOS Enrollment IDI20171127003131
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 Nadia Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nadia Shah DPM LLC
Same address
Primary Podiatric Medicine
172 SUMMERHILL RD STE 2
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1083132179 (561) 271-6593

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 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.
181 services92 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
111 services35 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.
83 services83 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
58 services30 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
49 services27 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
34 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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.

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.

NADIA SHAH DPM LLC
Podiatrist (Primary Podiatric Medicine)
172 SUMMERHILL RD STE 2
EAST BRUNSWICK, NJ 08816
Middlesex County (561) 271-6593
DR. SONIA S. GUIRGUIS M.D.
Allergy & Immunology
172 SUMMERHILL RD STE 2
EAST BRUNSWICK, NJ 08816
Middlesex County (732) 613-6161

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 Nadia Shah's NPI number?

The NPI number for Nadia Shah is 1801282108. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Nadia Shah located?

Nadia Shah practices at 172 Summerhill Rd Ste 2, East Brunswick, NJ 08816. The listed phone number is (561) 271-6593.

What is Nadia Shah's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Nadia Shah enrolled in Medicare?

Yes. Nadia 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.

Which organization bills Medicare for Nadia Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadia Shah reassigns Medicare benefits to Nadia Shah DPM LLC (East Brunswick, 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 Nadia Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadia Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nadia 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 Nadia Shah was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.