SWALEHA MAHPARA M.D.
NPI 1902113772
Internal Medicine in Neptune, NJ

Active since September 01, 2010PECOS EnrolledAccepts Medicare Assignment
79.37/100
CMS Quality Rating
1945 CORLIES AVE, NEPTUNE, NJ 07753(732) 776-4420 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Swaleha Mahpara M.d. NPPES

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

SWALEHA MAHPARA M.D. (NPI 1902113772) is an individual internal medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA08802600) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1902113772
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSWALEHA MAHPARACredential: M.D.
Location Address1945 CORLIES AVENeptune, NJ 07753-4859
Mailing Address1945 Corlies AveNeptune, NJ 07753-4859 · (732) 776-4420
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 1, 2010
Last NPPES UpdateDecember 8, 2010
NPI 1902113772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA08802600
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1945 CORLIES AVE, Neptune, NJ 07753

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

Swaleha Mahpara 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 ID9032399910
PECOS Enrollment IDI20110209000979
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 4

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 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.
737 services298 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.
151 services144 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.
95 services94 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.
42 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

79.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.08
Improvement Activities40
Cost65.14

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.

Obstetrics & Gynecology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Student in an Organized Health Care Education/Training Program
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Nurse Practitioner (Primary Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Anesthesiology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Neuromusculoskeletal Medicine & OMM
1945 CORLIES AVE
NEPTUNE, NJ 07753
Nurse Practitioner (Acute Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753

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 Swaleha Mahpara's NPI number?

The NPI number for Swaleha Mahpara is 1902113772. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Where is Swaleha Mahpara located?

Swaleha Mahpara practices at 1945 Corlies Ave, Neptune, NJ 07753. The listed phone number is (732) 776-4420.

What is Swaleha Mahpara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Swaleha Mahpara enrolled in Medicare?

Yes. Swaleha Mahpara 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 Swaleha Mahpara affiliated with any hospitals?

According to CMS data, Swaleha Mahpara is affiliated with Robert Wood Johnson University Hospital and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Swaleha Mahpara was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.