Individual provider Active NPI

Chandreshwar N Shahi, MD, FACC

  • Cardiovascular Disease Physician
  • Bridgewater, NJ
National Provider Identifier
1063412484
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA70799 Issued in NJ
Practice address
245 Union Ave
Suite 1a
Bridgewater, NJ 08807-3064
Phone
(908) 864-4027
Fax
(908) 864-4029
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA70799 NJ Primary
Nuclear Cardiology Physician 207UN0901X 25MA07079900 NJ

Addresses

Primary practice location

245 Union Ave
Suite 1a
Bridgewater, NJ 08807-3064

Mailing address

245 Union Ave
Ste 1a
Bridgewater, NJ 08807-3064
Phone (908) 864-4027

Other identifiers 1

IdentifierTypeStateIssuer
8342300MedicaidNJ

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
I20110216000773 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac ElectrophysiologyPractitioner - Nuclear MedicinePractitioner - Geriatric MedicinePractitioner - Peripheral Vascular DiseasePractitioner - Preventive Medicine 9830179993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology, Geriatric Medicine, Internal Medicine, Nuclear Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 US Hwy 202 S
BLDG E Suite 3
Raritan, NJ 08869-1490
Phone (908) 662-6444

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
  • Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005

Merit-based Incentive Payment System (MIPS)

Final score
23.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA70799NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rwjbh Primary Care Services CurrentSince May 29, 2021 Accepting new patients
Robert Wood Johnson Physician Enterprise Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Somerset Cardiocare Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Cardiac Imaging Inc CurrentSince Jan 10, 2023 Accepting new patients

Locations

465 Union Ave
Ste A
Bridgewater, NJ 08807
Phone (201) 722-6410

245 Union Ave
Ste 1A
Bridgewater, NJ 08807
Phone (732) 443-3975

711 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 431-9911

1130 US Highway 202
Bldg E
Raritan, NJ 08869
Phone (908) 725-9595

1130 US Highway 202
Ste E5
Raritan, NJ 08869
Phone (908) 393-4740

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJDHCD/Endpoint/AJDHCD

Organizations & group practices 4

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 4

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1063412484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 UNION AVE",
            "address_2": "STE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "908-864-4027",
            "fax_number": "908-864-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 UNION AVE",
            "address_2": "SUITE 1A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073064",
            "telephone_number": "908-864-4027",
            "fax_number": "908-864-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHI",
        "first_name": "CHANDRESHWAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA70799",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA07079900",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.