VATSAL DOSHI M.D.
NPI 1831394899
Ophthalmology - Retina Specialist in Millburn, NJ

Q: What is Vatsal Doshi's NPI number?

The NPI number for Vatsal Doshi is 1831394899. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Q: What is Vatsal Doshi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Vatsal Doshi was last updated on May 15, 2024. 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.

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

306 MAIN ST, 2ND FLOOR, MILLBURN, NJ 07041(973) 467-2020(973) 467-2030 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2024, Apr 26, 2017, Mar 16, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Vatsal Doshi M.d. NPPES

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

VATSAL DOSHI M.D. (NPI 1831394899) is an individual retina specialist in Millburn, New Jersey, licensed in New Jersey (MAO8558900) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and maintains a secondary practice location in Somerset.

NPPES Registry Identity

NPI1831394899

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameVATSAL DOSHICredential: M.D.

Location Address306 MAIN ST, 2ND FLOORMillburn, NJ 07041-1178

Mailing Address306 Main St, 2nd FloorMillburn, NJ 07041-1178 · (973) 467-2020 · Fax (973) 467-2030

Phone(973) 467-2020

Fax(973) 467-2030

Sole ProprietorYes

Medical School CMSHarvard Medical SchoolGraduated 2003

Enumeration DateJune 19, 2007

Last NPPES UpdateMay 15, 20244 updates tracked since enumeration

NPPES CertifiedMay 9, 2024

✔ NPI 1831394899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in NJ · MAO8558900

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 243156 (NY), 25MA70894 (NJ)

306 MAIN ST, Millburn, NJ 07041

Open in Google Maps ↗

Secondary Practice Location 1

Location 11543 Route 27, Ste 12Somerset, NJ 08873 · Phone (973) 467-2020

Other Identifiers 2

Other243156NY · License

Medicaid02917288NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter 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

Vatsal Doshi 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 ID8921188947

PECOS Enrollment IDI20100831000918

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 Vatsal Doshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monmouth Retina Consultants, P.A.

30 mi

Ophthalmology

39 SYCAMORE AVE.
Little Silver, NJ 07739

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Monmouth Retina Consultants PA
11 clinicians in this Medicare group

NPI 1437179942 (732) 530-7730

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 22

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

12,780 services78 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

1,505 services635 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,419 services542 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,217 services361 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

936 services170 patients

Injection, brolucizumab-dbll, 1 mg J0179

Brolucizumab-dbll is an injection given to treat wet age-related macular degeneration (AMD), a condition that can cause vision loss. This medication works by inhibiting the growth of abnormal blood vessels in the eye, helping to improve vision.

792 services33 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

742 services317 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

623 services35 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

263 services234 patients

Injection, fluocinolone acetonide, intravitreal implant (yutiq), 0.01 mg J7314

This is an eye treatment where a tiny implant, Yutiq, is placed inside your eye. It slowly releases a medication, fluocinolone acetonide, to help reduce inflammation. This can be useful in treating certain eye conditions. It's a safe and effective procedure.

234 services12 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

233 services127 patients

Measurement of retinal and optic nerve function 92273

This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.

161 services160 patients

Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye 92242

This procedure involves a special camera capturing images of the eye's blood vessels. A dye is injected into your body, which travels to the eye's vessels, highlighting them in the photos. This helps identify any abnormalities in the retina and surrounding areas.

136 services110 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

97 services70 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.

90 services90 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

74 services52 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

73 services50 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

62 services44 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

61 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

58 services58 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

53 services40 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.

51 services44 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310009

LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%391 patients5/55-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.

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 Vatsal Doshi's NPI number?

The NPI number for Vatsal Doshi is 1831394899. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Vatsal Doshi located?

Vatsal Doshi practices at 306 Main St 2nd Floor, Millburn, NJ 07041. The listed phone number is (973) 467-2020.

What is Vatsal Doshi's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Vatsal Doshi enrolled in Medicare?

Yes. Vatsal Doshi 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 Vatsal Doshi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vatsal Doshi reassigns Medicare benefits to Monmouth Retina Consultants, P.A. (Little Silver, 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 Vatsal Doshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vatsal Doshi accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Vatsal Doshi 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 Vatsal Doshi affiliated with any hospitals?

According to CMS data, Vatsal Doshi is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Vatsal Doshi was last updated on May 15, 2024. 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.