Individual provider Active NPI

Shital Kayastha, D.O.

  • Family Medicine Physician
  • East Windsor, NJ
National Provider Identifier
1053734632
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09750000 Issued in NJ
Practice address
300A Princeton Hightstown Rd Ste 102
East Windsor, NJ 08520-1421
Phone
(609) 490-0095
Fax
(609) 490-0091
NPI assigned
Feb 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09750000 NJ Primary

Addresses

Primary practice location

300A Princeton Hightstown Rd Ste 102
East Windsor, NJ 08520-1421

Mailing address

300A Princeton Hightstown Rd Ste 102
East Windsor, NJ 08520-1421
Phone (609) 490-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000935 NJ Practitioner - Internal Medicine 9537453766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

352 Princeton Hightstown Rd
Suite A3
West Windsor, NJ 08550-3130
Phone (609) 537-7400

Hospital & facility affiliations

  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group Family Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

1700 Nottingham Way
Ste 108
Hamilton, NJ 08619
Phone (609) 303-4870

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

352 Princeton Hightstown Rd
#A3
West Windsor, NJ 08550

352 Princeton Hightstown Rd
Ste A3
West Windsor, NJ 08550
Phone (609) 537-7400

Interoperability endpoints

  • Direct secure messaging: shital.kayastha.1@12833.direct.athenahealth.com
  • Direct secure messaging: shital.kayastha@maom.ehi.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1053734632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD STE 102",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-490-0095",
            "fax_number": "609-490-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A PRINCETON HIGHTSTOWN RD STE 102",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201421",
            "telephone_number": "609-490-0095",
            "fax_number": "609-490-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYASTHA",
        "first_name": "SHITAL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09750000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

Verify at the official NPI Registry.