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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KOMAL SHAH MD
NPI 1942388228
Psychiatry & Neurology - Psychiatry in Hampton, NJ

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
53 FRONTAGE RD FL 1, HAMPTON, NJ 08827(833) 351-8255 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, May 28, 2025, Feb 7, 2025 (3 updates tracked since 2025).

About Komal Shah Md NPPES

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

KOMAL SHAH MD (NPI 1942388228) is an individual psychiatry provider in Hampton, New Jersey, licensed in New Jersey (25MA07231400) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1942388228
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKOMAL SHAHCredential: MD
Location Address53 FRONTAGE RD FL 1Hampton, NJ 08827-4031
Mailing Address45 Hartlander StEast Brunswick, NJ 08816-2668 · (732) 735-5898
Phone(833) 351-8255
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 2, 2006
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1942388228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NJ · 25MA07231400✔ Licensed in PA · MD495993✔ Licensed in NY · 215801
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
53 FRONTAGE RD FL 1, Hampton, NJ 08827
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1680 American Ave Ste 302King Of Prussia, PA 19406-4023 · Phone (833) 351-8255
Location 2109 W 27th St Rm 5SNew York, NY 10001-6208 · Phone (833) 351-8255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Komal Shah 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 ID4688661168
PECOS Enrollment IDI20040427001159
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

5

Medicare enrollment records show Komal Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mccd New Jersey Psychiatry Services LLC
Same address
Psychiatry
53 FRONTAGE RD FL 1
Hampton, NJ 08827
  • Reassigned Medicare billing, New Jersey enrollment
  • 98 clinicians in this Medicare group
NPI 1023729530 (833) 351-8255
Barnabas Health Medical Group, PC
36 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
County Of Middlesex
37 mi
Mental Health (Including Community Mental Health Center)
570 LEE ST
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1437245800 (732) 376-6700
Freehold Psychiatric Associates
44 mi
Psychiatry
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
NPI 1356493712 (732) 431-2000
Hackensack Meridian Health Medical Group - Specialty Care PC
51 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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 3

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 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.
174 services55 patients
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.
68 services32 patients
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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08827 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 6

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

MCCD NEW JERSEY PSYCHIATRY SERVICES LLC
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (833) 351-8255
FREDERICK HELLER MD
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (833) 351-8255
OUTRO MEDICAL EAST, P.C.
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (949) 649-4093
GAURAV CHAUDHARI MD
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (833) 351-8255
CAITLIN SCHROEN MD
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (833) 351-8255
ANDREW JAMES WILBUR M.D. (JUNE 2017)
Psychiatry & Neurology (Psychiatry)
53 FRONTAGE RD FL 1
HAMPTON, NJ 08827
Hunterdon County (833) 351-8255

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 Komal Shah's NPI number?

The NPI number for Komal Shah is 1942388228. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Komal Shah located?

Komal Shah practices at 53 Frontage Rd Fl 1, Hampton, NJ 08827. The listed phone number is (833) 351-8255.

What is Komal Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Komal Shah enrolled in Medicare?

Yes. Komal 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.

Which organizations bill Medicare for Komal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Komal Shah reassigns Medicare benefits to 5 organizations: Mccd New Jersey Psychiatry Services LLC (Hampton, NJ), Barnabas Health Medical Group, PC (West Orange, NJ), County Of Middlesex (Perth Amboy, NJ), Freehold Psychiatric Associates (Freehold, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Komal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Komal Shah accept?

Health plans from Oscar Health list Komal 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.

When was this NPI record last updated?

The NPPES record for Komal Shah was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.