Bankim D Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA03582500 Issued in NJ

Practice address

25 Mule Rd Unit B4
Toms River, NJ 08755-5037

Phone

(732) 341-0020

Fax

(732) 341-0072

NPI assigned

Jul 25, 2006

Last updated

Apr 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bankim D. Shah M.D. PAGroup PAC ID 3870760531, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shah.bankim.007.0300214@bds.meditab.direct-ci.com
• Direct secure messaging: shah.bankim.008.0300214@bds.meditab.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bankim D. Shah M.D. PA

  dba Shore Preventative Wellness Center

  • Internal Medicine Physician
  • Toms River, NJ
  • NPI 1992720809
  Medicare reassignment Care Compare group NPD Authorized official

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

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1609899632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-341-0020",
            "fax_number": "732-341-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BANKIM",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03582500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "067431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamary Lyn Serrano, LSW
• John P Sersanti, MD
• Serv Achievement Centers, Inc
• Shahram Shadfar, DMD
• Alan Shaffery, LSW
• Chirag M Shah, MD
• Dhanvanti B Shah, MD
• Dhiren A Shah, MD
• Khushbu Shah
• Pranay Sudhir Shah, D.O.

• Internal Medicine Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.