Kamalesh R Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05689400 Issued in NJ

Practice address

9225 Kennedy Blvd
North Bergen, NJ 07047-5361

Phone

(201) 453-2800

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Arts Associates LLCGroup PAC ID 2466424460, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
• Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
• Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shah.kamalesh.005.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.021.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.017.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.020.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.018.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.016.0300006@gsmg.meditab.direct-ci.com
• Direct secure messaging: shah.kamalesh.019.0300006@gsmg.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 and National Provider Directory roles.

• Summit Medical Arts Associates, LLC

  • Internal Medicine Physician
  • North Bergen, NJ
  • NPI 1750473146

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Cardio Pulmonary Diagnostic LLC

  • Cardiovascular Disease Physician
  • Elizabeth, NJ
  • NPI 1023112638
  Medicare reassignment Authorized official
• Virtual Care LLC

  • Internal Medicine Physician
  • Secaucus, NJ
  • NPI 1649940099
  Medicare reassignment Authorized official
• Greenhill Health Consulting LLC

  • General Practice Physician
  • Wilmington, DE
  • NPI 1811544174

  NJ

  Medicare reassignment
• NJ Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Secaucus, NJ
  • NPI 1265962187

  Multi-Specialty

  NPD
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • North Bergen, NJ
  • NPI 1730692344
  NPD (past)
• Institute for Better Breathing PC

  • Pulmonary Disease Physician
  • Jersey City, NJ
  • NPI 1265542294

  Multi-Specialty

  NPD (past)
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1093851990

  Multi-Specialty

  NPD (past)
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502

  Multi-Specialty

  NPD (past)
• Greenhill Healthcare, LLC

  • Infusion Therapy Clinic/Center
  • Wilmington, DE
  • NPI 1508408659

  Multi-Specialty

  NPD (past)

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

• Amedisys New Jersey LLC

  • Home Health Agency
  • Hackensack, NJ
  • NPI 1952402737
  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Hackensack, NJ
  • NPI 1457456279
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Hackensack, NJ
  • NPI 1518683929

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • North Bergen, NJ
  • NPI 1730692344
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • North Bergen, NJ
  • NPI 1952028532

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1891780912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-453-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475361",
            "telephone_number": "201-453-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAMALESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA056894",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05689400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6183204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Severe, PMHNP
• Shaan Kashi LLC
• Mirette Mohsen Shafeek, D.O
• Bijal C Shah, DMD
• Hasmukhlal Shah, R-PAC
• Ketan D. Shah, D.P.M.
• Malak Shah, MD
• Manan Shah, MD
• Mansi Shah, MD
• Sandeep Shah, MD

• Internal Medicine Physician in North Bergen, NJ
• Providers in North Bergen, 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 Nov 30, 2016; 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.