DR. VINNIE POOJA SHAH M.D.
NPI 1992970578
Ophthalmology in Berkeley Heights, NJ

Q: What is Vinnie Shah's NPI number?

The NPI number for Vinnie Shah is 1992970578. It was assigned to this individual provider in the NPPES registry on April 24, 2008. The provider is also known as Dr. Vinnie Pooja Kathpalia M.D..

Q: What is Vinnie Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Vinnie Shah was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 24, 2008PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(908) 277-8682(908) 277-8694 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Vinnie Pooja Shah M.d. NPPES

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

DR. VINNIE POOJA SHAH M.D. (NPI 1992970578) is an individual ophthalmology provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA08916300) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (2007).

NPPES Registry Identity

NPI1992970578

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. VINNIE POOJA SHAHCredential: M.D.

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address2371 Black Rock TpkeFairfield, CT 06825-3229 · (203) 371-0141 · Fax (203) 371-6585

Phone(908) 277-8682

Fax(908) 277-8694

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2007

Enumeration DateApril 24, 2008

Last NPPES UpdateDecember 13, 2017

✔ NPI 1992970578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NJ · 25MA08916300✔ Licensed in CT · 053079

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Other Names 1

Former Name (1)Dr. Vinnie Pooja Kathpalia M.d.

Other Identifiers 1

Medicaid004001665CT

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

Dr. Vinnie Pooja 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 ID8224207964

PECOS Enrollment IDI20170706001225

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 Reassignment

Medicare enrollment records show Vinnie Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group PA

Same address

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

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 11

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,770 services1,237 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

1,268 services794 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

336 services42 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.

241 services193 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

201 services139 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

194 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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

$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 20

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

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

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 Vinnie Shah's NPI number?

The NPI number for Vinnie Shah is 1992970578. It was assigned to this individual provider in the NPPES registry on April 24, 2008. The provider is also known as Dr. Vinnie Pooja Kathpalia M.D..

Where is Vinnie Shah located?

Vinnie Shah practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (908) 277-8682.

What is Vinnie Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vinnie Shah enrolled in Medicare?

Yes. Vinnie 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 organization bills Medicare for Vinnie Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vinnie Shah reassigns Medicare benefits to Summit Medical Group PA (Berkeley Heights, NJ). The 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 Vinnie Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vinnie Shah accept?

Health plans from Oscar Health list Vinnie 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 Vinnie Shah was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.