Individual provider Active NPI

Shruti A Shah, MD

  • Interventional Pain Medicine Physician
  • Holmdel, NJ
National Provider Identifier
1114158755
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA08317800 Issued in NJ
Practice address
670 N Beers St Ste 4
Holmdel, NJ 07733-1543
Phone
(732) 665-6492
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08317800 NJ
Anesthesiology Physician 207L00000X 25MA08317800 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA08317800 NJ Primary

Addresses

Primary practice location

670 N Beers St Ste 4
Holmdel, NJ 07733-1543

Mailing address

670 N Beers St Ste 4
Holmdel, NJ 07733-1543
Phone (732) 665-6492

Other practice location 1

655 Shrewsbury Ave Ste 206
Shrewsbury, NJ 07702-4151
Phone (732) 665-6492

Other identifiers 3

IdentifierTypeStateIssuer
0209015MedicaidNJ
P00953302OtherNJRR MCR PTAN
P00953311OtherNJRR MCR PTAN

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
I20090922000368 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 3375699069 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

670 N Beers St
Suite 4
Holmdel, NJ 07733-1543
Phone (732) 665-6492

Hospital & facility affiliations

  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Monmouth Medical Center Hospital, Long Branch, NJ, CCN 310075

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as individual
Quality
95.42
Promoting interoperability
95
Improvement activities
40
Cost
73.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08317800NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 14, 2023 Accepting new patients
Red Bank Anesthesia, LLC Anesthesiology CurrentSince Oct 1, 2017 Accepting new patients
Toms River Ambulatory Anesthesia LLC Anesthesiology CurrentSince Jun 8, 2025 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 14, 2023 Accepting new patients
Toms River Ambulatory Anesthesia LLC Anesthesiology CurrentSince Jun 8, 2025 Accepting new patients
Liberty Pain Care LLC Pain Medicine CurrentSince Sep 1, 2017 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Past Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

670 N Beers St
Ste 4
Holmdel, NJ 07733
Phone (732) 664-6492

670 N Beers St
Bldg 3
Holmdel, NJ 07733

2139 State Route 35
Holmdel, NJ 07733
Phone (732) 264-6070

1270 State Route 35
Middletown, NJ 07748
Phone (732) 615-3900

1200 Eagle Ave
Ocean, NJ 07712

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

225 State Route 35
Ste 102B
Red Bank, NJ 07701
Phone (212) 227-9655

655 Shrewsbury Ave
Ste 4
Shrewsbury, NJ 07702

655 Shrewsbury Ave
Ste 206
Shrewsbury, NJ 07702
Phone (732) 241-1661

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

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHJDD/Endpoint/IIHJDD
  • Direct secure messaging: shruti.shah.1@16516.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16516/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 5

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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1114158755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST STE 4",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331543",
            "telephone_number": "732-665-6492",
            "fax_number": "844-649-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST STE 4",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331543",
            "telephone_number": "732-665-6492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Shrewsbury Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "NJ",
            "postal_code": "077024151",
            "country_code": "US",
            "telephone_number": "732-665-6492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHRUTI",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08317800",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08317800",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08317800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209015",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00953302",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00953311",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.