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RAJIV K SHAH M.D.
NPI 1912108291
Surgery in Hamilton, NJ

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1225 WHITEHORSE MERCERVILLE RD, BUILDING D, SUITE 203, HAMILTON, NJ 08619(609) 581-6060(609) 581-9561 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rajiv K Shah M.d. NPPES

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

RAJIV K SHAH M.D. (NPI 1912108291) is an individual surgery provider in Hamilton, New Jersey, licensed in New Jersey (25MA07949900) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1912108291
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRAJIV K SHAHCredential: M.D.
Location Address1225 WHITEHORSE MERCERVILLE RD, BUILDING D, SUITE 203Hamilton, NJ 08619-3882
Mailing AddressLifecare Physicians, Po Box 824665Philadelphia, PA 19182-4665
Phone(609) 581-6060
Fax(609) 581-9561
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 31, 2007
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1912108291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA07949900
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 25MA07949900 (NJ)
1225 WHITEHORSE MERCERVILLE RD, Hamilton, NJ 08619
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Other Identifiers 1

OtherP00831235NJ · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Rajiv K 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 ID941397640
PECOS Enrollment IDI20071031000625
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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
126 services65 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.
79 services71 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.
22 services22 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

TRENTON ORTHOPAEDIC GROUP, PA
Physician Assistant (Surgical)
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
MS. CONNIE R. KARTOZ MS, RN, CRNP
Nurse Practitioner (Family)
1225 WHITEHORSE MERCERVILLE RD, SUITE 206
HAMILTON, NJ 08619
Mercer County (609) 581-5150
LIFECARE PHYSICIANS, P.C.
Psychiatry & Neurology (Neurology)
1225 WHITEHORSE MERCERVILLE RD, SUITE 203
HAMILTON, NJ 08619
Mercer County (609) 581-6060
DR. DAREN J. AITA M.D.
Orthopaedic Surgery
1225 WHITEHORSE MERCERVILLE RD, BLDG. D. SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
DAVID BRESCH MD
Psychiatry & Neurology (Psychiatry)
1225 WHITEHORSE MERCERVILLE RD, BUILDING D, SUITE 203
HAMILTON, NJ 08619
Mercer County (609) 581-6087
MR. KYLE CHRISTIAN PILLITTERI PA-C
Physician Assistant
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200
CONTEMPORARY PEDIATRIC & ADOLESCENT MEDICINE, PC
Pediatrics
1225 WHITEHORSE MERCERVILLE RD, BLDG D SUITE 203
MERCERVILLE, NJ 08619
Mercer County (609) 581-5100
DR. JOHN J. DIBIASE MD
Orthopaedic Surgery
1225 WHITEHORSE MERCERVILLE RD, BLDG. D, SUITE 220
MERCERVILLE, NJ 08619
Mercer County (609) 581-2200

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 Rajiv Shah's NPI number?

The NPI number for Rajiv Shah is 1912108291. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Rajiv Shah located?

Rajiv Shah practices at 1225 Whitehorse Mercerville Rd Building D, Suite 203, Hamilton, NJ 08619. The listed phone number is (609) 581-6060.

What is Rajiv Shah's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rajiv Shah enrolled in Medicare?

Yes. Rajiv 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.

What insurance does Rajiv Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rajiv Shah 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 Rajiv Shah affiliated with any hospitals?

According to CMS data, Rajiv Shah is affiliated with Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Rajiv Shah was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.