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NEAL SHAH M.D.
NPI 1972985448
Internal Medicine in Valhalla, NY

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 WOODS RD # D342, VALHALLA, NY 10595(914) 493-6616(914) 493-5827 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Apr 13, 2021, Jun 23, 2019 and 1 more (4 updates tracked since 2018).

About Neal Shah M.d. NPPES

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

NEAL SHAH M.D. (NPI 1972985448) is an individual internal medicine provider in Valhalla, New York, licensed in New York (298498) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in New Brunswick.

NPPES Registry Identity

NPI1972985448
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEAL SHAHCredential: M.D.
Location Address100 WOODS RD # D342Valhalla, NY 10595-1530
Mailing Address100 Woods RdValhalla, NY 10595-1530 · (914) 493-6616 · Fax (914) 493-5827
Phone(914) 493-6616
Fax(914) 493-5827
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2015
Last NPPES UpdateJune 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 6, 2024
✔ NPI 1972985448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 298498✔ Licensed in NJ · 25MA12009700✔ Licensed in PA · MD464916
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.
100 WOODS RD # D342, Valhalla, NY 10595
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Secondary Practice Location 1

Location 11 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928 · Phone (732) 828-3000 · Fax (732) 923-2272

Accepted Insurance

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

Neal 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 ID3971853474
PECOS Enrollment IDI20190626000293, I20240814004206
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 Neal Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
Same address
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
Symphony Medical PC
5.9 mi
Orthopaedic Surgery
128 ASHFORD AVE
Dobbs Ferry, NY 10522
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
NPI 1023600327 (914) 559-1022
Rutgers Health-Rwj Primary Medicine Group
53 mi
Internal Medicine
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1659475283 (732) 828-3000
Rwjbh Emergency Medicine Associates, LLC
53 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Clinical Health Care Associates Of New Jersey, PC
60 mi
Otolaryngology
719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
NPI 1962977249 (908) 271-2102

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 5

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.
213 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.
66 services34 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.
22 services22 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.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

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

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40

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 Neal Shah's NPI number?

The NPI number for Neal Shah is 1972985448. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Neal Shah located?

Neal Shah practices at 100 Woods Rd # D342, Valhalla, NY 10595. The listed phone number is (914) 493-6616.

What is Neal Shah's specialty?

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

Is Neal Shah enrolled in Medicare?

Yes. Neal 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 Neal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neal Shah reassigns Medicare benefits to 5 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Symphony Medical PC (Dobbs Ferry, NY), Rutgers Health-Rwj Primary Medicine Group (New Brunswick, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Clinical Health Care Associates Of New Jersey, PC (Hillsborough, 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 Neal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neal Shah accept?

Health plans from Ambetter Health and Oscar Health list Neal 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 Neal Shah affiliated with any hospitals?

According to CMS data, Neal Shah is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Neal Shah was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.