1. Home
  2. Directory
  3. New Jersey
  4. Newton
  5. Family Medicine
  6. NPI Profile

DR. SHUMAILA ALAM M.D.
NPI 1851732143
Family Medicine in Newton, NJ

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shumaila Alam M.d. NPPES

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

DR. SHUMAILA ALAM M.D. (NPI 1851732143) is an individual family medicine provider in Newton, New Jersey, licensed in New Jersey (25MA09814500) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1851732143
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHUMAILA ALAMCredential: M.D.
Location Address175 HIGH STNewton, NJ 07860-1004
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735
Phone(973) 579-8321
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateSeptember 19, 2018
✔ NPI 1851732143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA09814500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 25MA09814500 (NJ)
175 HIGH ST, Newton, NJ 07860
Open in Google Maps ↗

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. Shumaila Alam 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 ID42507873
PECOS Enrollment IDI20160922001084
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 5

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.

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.
385 services169 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
221 services205 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services101 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.
93 services92 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier27 claims27 services$13.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier47 claims47 services$59.97 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.09 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 20

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

ARADHANA AGGARWAL
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
CHRISTINE KALAFUT PA-C
Physician Assistant (Medical)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-0453
DR. HRISTO VASSILEV STOYTCHEV MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
MARISA PARISE PETRUCELLI D.O.
Anesthesiology
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
VANDANKUMAR PATEL MD
Internal Medicine (Pulmonary Disease)
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 383-2121
JEAN KAMALA MALLIPUDI MD
Internal Medicine
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321
NEWTON MEDICAL CENTER
Psychiatric Unit
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8723
DR. DEVINA JAYESH ADALJA MD
Hospitalist
175 HIGH ST
NEWTON, NJ 07860
Sussex County (973) 579-8321

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 Shumaila Alam's NPI number?

The NPI number for Shumaila Alam is 1851732143. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Shumaila Alam located?

Shumaila Alam practices at 175 High St, Newton, NJ 07860. The listed phone number is (973) 579-8321.

What is Shumaila Alam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shumaila Alam enrolled in Medicare?

Yes. Shumaila Alam 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 Shumaila Alam affiliated with any hospitals?

According to CMS data, Shumaila Alam is affiliated with Morristown Medical Center, Cooperman Barnabas Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Shumaila Alam was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.