DR. NIDHIR RAS SHETH MD
NPI 1902859184
Internal Medicine - Gastroenterology in Lumberton, NJ

Q: What is Nidhir Sheth's NPI number?

The NPI number for Nidhir Sheth is 1902859184. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Nidhir Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nidhir Sheth was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 May 18, 2006PECOS EnrolledAccepts Medicare Assignment

95.3/100

CMS Quality Rating

693 MAIN ST, BLDG A STE 2, LUMBERTON, NJ 08048(609) 265-1700(609) 265-8146 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2024, Oct 22, 2020 (2 updates tracked since 2020).

On this page

About Dr. Nidhir Ras Sheth Md NPPES

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

DR. NIDHIR RAS SHETH MD (NPI 1902859184) is an individual gastroenterology provider in Lumberton, New Jersey, licensed in New Jersey (25MA07417600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Mount Holly.

NPPES Registry Identity

NPI1902859184

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. NIDHIR RAS SHETHCredential: MD

Location Address693 MAIN ST, BLDG A STE 2Lumberton, NJ 08048

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (609) 265-1700 · Fax (609) 265-8146

Phone(609) 265-1700

Fax(609) 265-8146

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateMay 18, 2006

Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1902859184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · 25MA07417600

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

693 MAIN ST, Lumberton, NJ 08048

Open in Google Maps ↗

Secondary Practice Location 1

Location 1175 Madison Ave Uppr LevelMount Holly, NJ 08060-2038 · Phone (609) 265-1700

Other Identifiers 2

Other7684408NJ · Aetna

Medicaid9105204NJ

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. Nidhir Ras Sheth Md 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 ID143383711

PECOS Enrollment IDI20110318000299

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 Reassignments

Medicare enrollment records show Nidhir Sheth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Consultants Of South Jersey PC

0.1 mi

Specialist

693 MAIN ST, BUILDING A SUITE 2
Lumberton, NJ 08048

Reassigned Medicare billing, New Jersey enrollment
12 clinicians in this Medicare group

NPI 1609917525 (609) 265-1700

Virtua Medical Group, PA

2.2 mi

Urgent Care

555 HIGH ST STE 16A
Mount Holly, NJ 08060

Reassigned Medicare billing, New Jersey enrollment
2,074 clinicians in this Medicare group

NPI 1851841696 (609) 444-5610

Professional Service Fund Of Deborah Heart & Lung Center

12 mi

Specialist

200 TRENTON RD
Browns Mills, NJ 08015

Reassigned Medicare billing, New Jersey enrollment
222 clinicians in this Medicare group

NPI 1407803596 (609) 893-1200

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 14

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.

156 services107 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.

128 services114 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.

109 services106 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

95 services95 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.

76 services76 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

45 services45 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

28 services28 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

26 services26 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

25 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services21 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.

21 services21 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310061

Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 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.

95.3/100

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

Scored as part of a group practice

Quality

96.47

Promoting Interoperability

Improvement Activities

Cost

82.55

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.

DR. CAROLE E THOMAS MD

Psychiatry & Neurology (Neurology)

693 MAIN ST, BUILDING D
LUMBERTON, NJ 08048

Burlington County (609) 261-7600

DR. THOMAS O'DONNELL MD

Pediatrics

693 MAIN ST, AMHERST COMMONS, SUITE D
LUMBERTON, NJ 08048

Burlington County (609) 261-4058

DAWN MICHELLE MOLEINS

Nurse Practitioner

693 MAIN ST
LUMBERTON, NJ 08048

Burlington County (609) 265-1700

DR. TED M ROSNER DMD

Dentist (Oral and Maxillofacial Surgery)

693 MAIN ST
LUMBERTON, NJ 08048

Burlington County (609) 261-8200

LATOYA GAINES

Counselor (Mental Health)

693 MAIN ST
LUMBERTON, NJ 08048

Burlington County (609) 267-5928

DR. LEE DELACY MD

Internal Medicine (Gastroenterology)

693 MAIN ST, BLDG A STE 2
LUMBERTON, NJ 08048

Burlington County (609) 265-1700

MRS. SUSAN AMY BERGDOLL-FAYKES MSN, CPNP

Nurse Practitioner (Pediatrics)

693 MAIN ST
LUMBERTON, NJ 08048

Burlington County (609) 261-4058

TED M ROSNER DMD, PA

Dentist (Oral and Maxillofacial Surgery)

693 MAIN ST
LUMBERTON, NJ 08048

Burlington County (609) 261-8200

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 Nidhir Sheth's NPI number?

The NPI number for Nidhir Sheth is 1902859184. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Nidhir Sheth located?

Nidhir Sheth practices at 693 Main St Bldg A Ste 2, Lumberton, NJ 08048. The listed phone number is (609) 265-1700.

What is Nidhir Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nidhir Sheth enrolled in Medicare?

Yes. Nidhir Sheth 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 organizations bill Medicare for Nidhir Sheth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidhir Sheth reassigns Medicare benefits to 3 organizations: Gastroenterology Consultants Of South Jersey PC (Lumberton, NJ), Virtua Medical Group, PA (Mount Holly, NJ) and Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ). Each 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 Nidhir Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nidhir Sheth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nidhir Sheth 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 Nidhir Sheth affiliated with any hospitals?

According to CMS data, Nidhir Sheth is affiliated with West Jersey Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Nidhir Sheth was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.