Individual provider Active NPI

Pranav N Shah, MD

  • Diagnostic Radiology Physician
  • Red Bank, NJ
National Provider Identifier
1144215963
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MA59610 Issued in NJ
Practice address
6 Riverview PLZ
Red Bank, NJ 07701-1863
Phone
(732) 747-1429
Fax
(732) 747-4778
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MA59610 NJ Primary

Addresses

Primary practice location

6 Riverview PLZ
Red Bank, NJ 07701-1863

Mailing address

6 Riverview PLZ
Red Bank, NJ 07701-1863
Phone (732) 747-1429

Other identifiers 13

IdentifierTypeStateIssuer
2011112OtherNJUNITED HEALTHCARE
651U51OtherNJWELLCHOICE
3629272OtherNJAETNA HMO
913160OtherNJUSA MANAGED CARE
2121288000OtherNJAMERIHEALTH
3000957OtherNJAETNA HMO
4099586OtherNJGHI
P00053557OtherNJRR MEDICARE
1165209OtherNJHORIZON/MERCY
0007710377OtherNJAETNA POS
8642800MedicaidNJ
9012122-006OtherNJCIGNA
94356OtherNJAMERIGROUP

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
I20050819000438 NJ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153351093 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shrewsbury Diagnostic Imaging, LLCGroup PAC ID 5890705651, 34 clinicians
Jersey Shore Imaging LLCGroup PAC ID 1355408212, 148 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians
University Radiology at Trinitas LLCGroup PAC ID 9133174634, 126 clinicians
University Radiology-Atlantic, LLCGroup PAC ID 6901059864, 144 clinicians

Practice addresses (Care Compare)

1131 Broad St
Suite 110
Shrewsbury, NJ 07702-4334
Phone (732) 578-9640

2100 Corlies Ave
Neptune, NJ 07753-6102
Phone (732) 988-1234

3822 River Rd
Point Pleasant Boro, NJ 08742-2067
Phone (732) 892-1200

415 Morris Ave
Elizabeth, NJ 07208-3612
Phone (908) 351-7600

48 N Gilbert St
Tinton Falls, NJ 07701-4905
Phone (732) 530-5750

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.21 of 100Reported as group
Quality
95.54
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
95.9
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
86.64
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA59610NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsborough Radiology Centers, LLC Diagnostic Radiology Current Accepting new patients
Jersey Shore Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
University Radiology-Atlantic, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
University Radiology at Trinitas, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Rwjuh Imaging at Plum Street, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Shrewsbury Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Princeton Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Bey Lea Anesthesia Associates LLC Past Accepting new patients

Locations

1 Robertson Dr
Ste 16
Bedminster, NJ 07921
Phone (908) 234-0205

33 Monroe St
Bridgewater, NJ 08807
Phone (908) 725-1291

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

483 Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

3900 Park Ave
Ste 107
Edison, NJ 08820
Phone (732) 546-6800

3 Progress St
Edison, NJ 08820
Phone (908) 753-0001

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

500 Grand Ave
Englewood, NJ 07631
Phone (201) 541-0440

833 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-2334

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

210 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 486-1111

2315 Route 34
Ste C
Manasquan, NJ 08736
Phone (732) 974-0404

2130 Millburn Ave
Ste A8
Maplewood, NJ 07040
Phone (732) 383-4166

264 Amboy Ave
Metuchen, NJ 08840
Phone (732) 548-2322

111 Union Valley Rd
Monroe Twp, NJ 08831
Phone (609) 395-3470

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

235 Franklin Ave
Nutley, NJ 07110
Phone (973) 235-9090

2128 State Route 35
Oakhurst, NJ 07755
Phone (732) 493-8444

3822 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 701-4848

1131 Broad St
Ste 110
Shrewsbury, NJ 07702
Phone (732) 578-9640

75 Veronica Ave
Somerset, NJ 08873
Phone (732) 246-0060

699 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 836-2500

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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 8

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1144215963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011863",
            "telephone_number": "732-747-1429",
            "fax_number": "732-747-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RIVERVIEW PLZ",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011863",
            "telephone_number": "732-747-1429",
            "fax_number": "732-747-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRANAV",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MA59610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2011112",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCHOICE",
            "identifier": "651U51",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3629272",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MANAGED CARE",
            "identifier": "913160",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2121288000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3000957",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4099586",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00053557",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON/MERCY",
            "identifier": "1165209",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA POS",
            "identifier": "0007710377",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8642800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9012122-006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "94356",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.