ANUJ RAJU SHAH M.D.
NPI 1922274190
Internal Medicine in Passaic, NJ

Q: What is Anuj Shah's NPI number?

The NPI number for Anuj Shah is 1922274190. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Anuj Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anuj Shah was last updated on June 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2008PECOS Enrolled

75/100

CMS Quality Rating

293 PASSAIC ST, PASSAIC, NJ 07055(973) 916-0002(973) 916-0027 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2020, Jan 29, 2019, Dec 31, 2018 and 1 more (4 updates tracked since 2018).

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About Anuj Raju Shah M.d. NPPES

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

ANUJ RAJU SHAH M.D. (NPI 1922274190) is an individual internal medicine provider in Passaic, New Jersey, licensed in New Jersey (25MA09220600) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1922274190

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameANUJ RAJU SHAHCredential: M.D.

Location Address293 PASSAIC STPassaic, NJ 07055-5803

Mailing Address293 Passaic StPassaic, NJ 07055-5803 · (973) 916-0002 · Fax (973) 916-0027

Phone(973) 916-0002

Fax(973) 916-0027

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMay 7, 2008

Last NPPES UpdateJune 17, 20204 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1922274190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA09220600

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.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 265026 (NY)

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 265026 (NY), 25MA09220600 (NJ)

293 PASSAIC ST, Passaic, NJ 07055

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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 (PECOS)

Anuj Raju Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305918863

PECOS Enrollment IDI20151111002040

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 15

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.

487 services373 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

471 services467 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

245 services236 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.

209 services209 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.

180 services116 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

131 services129 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.

125 services104 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

93 services65 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

80 services56 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.

44 services43 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

34 services32 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

23 services20 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

19 services19 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.

16 services16 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Carepoint Health-Christ Hospital

Acute Care Hospitals · Jersey City, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310016

Location176 Palisade AveJersey City, NJ 07306 · Hudson County

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310025

Location29 East 29th StBayonne, NJ 07002 · Hudson County

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310040

Location308 Willow AveHoboken, NJ 07030 · Hudson County

Birthing friendly

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310118

Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

65%171 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%177 patients4/55-star benchmark: 100%

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…

3%63 patients1/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

86%28 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

78%27 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

3%112 patients1/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

4%27 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims26 services$5.31 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$215.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

DR. KUNAL BRAHMBHATT M.D.

Internal Medicine (Interventional Cardiology)