Kekul B Shah, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA07781300 Issued in NJ

Practice address

4 Princess Rd
Suite 101
Lawrenceville, NJ 08648-2322

Phone

(609) 896-1414

Fax

(609) 896-2982

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Ophthalmology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants LLCGroup PAC ID 2961509161, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score

99.21 of 100Reported as individual

Quality

98.56

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kshah@arcnj.intellechartdirect.net

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.

• Associated Retinal Consultants LLC

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1164578894

  NJ, PA

  Medicare reassignment Care Compare group NPD
• Associated Retinal Consultants LLC

  • Durable Medical Equipment & Medical Supplies
  • Englishtown, NJ
  • NPI 1295477404
  NPD

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

• Capital Health System, Inc.

  • General Acute Care Hospital
  • Pennington, NJ
  • NPI 1073516183
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1467493718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-896-1414",
            "fax_number": "609-896-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PRINCESS RD",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482322",
            "telephone_number": "609-896-1414",
            "fax_number": "609-896-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KEKUL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA07781300",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD 424214",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "44604-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaheed Muslim Shabazz
• Brian L Shaffer, MD
• Angana Nayan Shah, M.D.
• Chetan Shah, M.D.
• Chirag S Shah, M.D.
• Khushbu Shah, PHARMD
• Samir Suresh Shah, M.D.
• Nasir Shaikh, M.D.
• Eugene Shapiro, M.D.
• Farah Shariff, D.M.D.

• Ophthalmology Physician in Lawrenceville, NJ
• Providers in Lawrenceville, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.