DR. ANKIT SURESH SHAH M.D.
NPI 1861805426
Internal Medicine - Hematology & Oncology in Newark, NJ

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
205 S ORANGE AVE STE A-1120, NEWARK, NJ 07103(973) 972-5108 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 25, 2022, Feb 12, 2021 (2 updates tracked since 2021).

About Dr. Ankit Suresh Shah M.d. NPPES

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

DR. ANKIT SURESH SHAH M.D. (NPI 1861805426) is an individual hematology & oncology provider in Newark, New Jersey, licensed in New Jersey (25MA10833100) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861805426
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ANKIT SURESH SHAHCredential: M.D.
Location Address205 S ORANGE AVE STE A-1120Newark, NJ 07103-2785
Mailing Address205 S Orange Ave Ste A-1120Newark, NJ 07103-2785 · (973) 972-5108
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
NPI 1861805426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NJ · 25MA10833100
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT207380 (PA)
205 S ORANGE AVE STE A-1120, Newark, NJ 07103

Other Names 1

Professional Name (2)Dr. Ankit Shah M.d.

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. Ankit Suresh 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 ID1052721651
PECOS Enrollment IDI20201111000423
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 2

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.
69 services17 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.
38 services21 patients

Hospital Affiliations CMS Care Compare

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

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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 Ankit Shah's NPI number?

The NPI number for Ankit Shah is 1861805426. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Ankit Shah located?

Ankit Shah practices at 205 S Orange Ave Ste A-1120, Newark, NJ 07103. The listed phone number is (973) 972-5108.

What is Ankit Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ankit Shah enrolled in Medicare?

Yes. Ankit 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.

Is Ankit Shah affiliated with any hospitals?

According to CMS data, Ankit Shah is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Ankit Shah was last updated on February 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.