Individual provider Active NPI

Himanshu S Shah, M.D.

  • Ophthalmology Physician
  • Edison, NJ
National Provider Identifier
1104833276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA05351800 Issued in NJ
Practice address
228 Plainfield Ave
Edison, NJ 08817-3738
Phone
(732) 985-5009
Fax
(732) 985-5155
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA05351800 NJ Primary

Addresses

Primary practice location

228 Plainfield Ave
Edison, NJ 08817-3738

Mailing address

228 Plainfield Ave
Edison, NJ 08817-3738

Other identifiers 1

IdentifierTypeStateIssuer
6276903MedicaidNJ

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
I20051027000158 NJ Practitioner - OphthalmologyPractitioner - Internal Medicine 2567489735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patel Eye Associates LLCGroup PAC ID 8527150218, 3 clinicians

Practice addresses (Care Compare)

228 Plainfield Ave
Edison, NJ 08817-3868
Phone (732) 985-5009

Merit-based Incentive Payment System (MIPS)

Final score
99.83 of 100Reported as group
Quality
89.65
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Patel Eye Associates LLC Ophthalmology CurrentSince Jul 15, 2007 Accepting new patients
Comprehensive Pulmonary and Critical Care PC Past Accepting new patients
Patel Eye Associates PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104833276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PLAINFIELD AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173738",
            "telephone_number": "732-985-5009",
            "fax_number": "732-985-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HIMANSHU",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05351800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6276903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.