Active NPI 1770513376 Individual Practitioner Female Practitioner

Dr. Sandhya R Shah , MD

Internal Medicine • Newark, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sandhya Shah, MD is a certified Internal Medicine practicing in Newark, NJ. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Shah delivers high-quality medical care to the local community at 1060 BROAD ST.

Dr. Shah accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1060 Broad St

Newark, NJ 07102

Telephone 9736420280

Fax 9736420047

Associated Practice Facility / Clinic

🏢 Happy Days Ii Adult Heathcare Facility NPI 1336354919

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Newark, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +26.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

196 Specialists

Practicing in Newark, NJ (4957 Statewide)

Telehealth Adoption Rate

15.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

21.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (46 Years) 46 Yrs

Newark Specialty Average (19.7 Years) 19.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	33	$126.21	$99.80
36415 Insertion of needle into vein for collection of blood sample	58	27	$15.00	$8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	18	$175.00	$140.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	150	43	$125.00	$99.89
36415 Insertion of needle into vein for collection of blood sample	81	37	$15.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	26	$175.00	$140.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$250.00	$142.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	251	51	$125.30	$101.97
36415 Insertion of needle into vein for collection of blood sample	53	32	$15.00	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	25	$175.00	$143.02
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	45	26	$100.00	$70.99
99497 Advance care planning, first 30 minutes	29	29	$100.00	$92.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$250.00	$145.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	63	$125.00	$103.47
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	179	40	$59.83	$45.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	35	$175.00	$146.43
36415 Insertion of needle into vein for collection of blood sample	51	38	$15.00	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	33	29	$70.00	$16.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$250.00	$149.61
99497 Advance care planning, first 30 minutes	26	26	$100.00	$94.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	72	$89.21	$84.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	44	$152.81	$121.84
36415 Insertion of needle into vein for collection of blood sample	49	40	$15.00	$2.95
G0444 Annual depression screening, 5 to 15 minutes	36	36	$75.00	$20.93
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$85.00	$71.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	401	101	$85.00	$82.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	86	$150.00	$120.18
36415 Insertion of needle into vein for collection of blood sample	221	106	$15.00	$2.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	103	24	$50.00	$16.17
G0008 Administration of influenza virus vaccine	54	53	$30.00	$18.67
G0442 Annual alcohol misuse screening, 5 to 15 minutes	50	50	$50.00	$20.32
G0444 Annual depression screening, 5 to 15 minutes	48	48	$75.00	$20.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$250.00	$128.67
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	35	35	$30.00	$17.88
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$70.00	$19.17
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	21	21	$50.00	$17.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	534	141	$85.00	$80.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	144	$150.00	$119.06
36415 Insertion of needle into vein for collection of blood sample	377	152	$15.00	$2.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	218	95	$58.94	$46.50
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	92	92	$50.00	$17.48
G0008 Administration of influenza virus vaccine	90	90	$30.22	$23.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	86	86	$250.00	$129.59
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	86	31	$50.00	$15.72
G0442 Annual alcohol misuse screening, 5 to 15 minutes	85	85	$50.00	$20.68
G0444 Annual depression screening, 5 to 15 minutes	80	80	$75.00	$20.27
93000 Routine ekg using at least 12 leads including interpretation and report	59	54	$70.00	$19.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	19	$70.00	$23.33
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	48	18	$20.00	$1.96
99496 Transitional care management services for problem of high complexity	19	14	$250.00	$246.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$250.00	$181.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	13	$70.00	$46.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$250.00	$189.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	715	174	$150.00	$118.49
99213 Established patient office or other outpatient visit, typically 15 minutes	609	160	$85.00	$80.83
36415 Insertion of needle into vein for collection of blood sample	511	183	$15.00	$2.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	389	127	$50.00	$46.39
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	128	36	$50.00	$15.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$250.00	$128.27
G0008 Administration of influenza virus vaccine	89	87	$30.00	$29.01
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	87	87	$48.39	$17.48
93000 Routine ekg using at least 12 leads including interpretation and report	72	62	$70.00	$19.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	25	$70.00	$29.18
G0444 Annual depression screening, 5 to 15 minutes	39	39	$75.00	$20.24
99496 Transitional care management services for problem of high complexity	24	18	$250.00	$246.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	16	$228.26	$156.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$250.00	$179.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$250.00	$188.19
93922 Ultrasound study of arm and leg arteries	17	17	$194.12	$103.36

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA45456

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1148001 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Rajan Shah , MD

Internal Medicine - Gastroenterology

NPI 1356378434

Doctor of Medicine (M.D.)

Dr. Amol Shah , MD

Internal Medicine - Gastroenterology

NPI 1912347030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2010

Registered at 1060 BROAD ST, NEWARK, NJ 07102 (Tel: 9736420280)

📍

Updated Business Mailing Address July 22, 2010

Registered at 95 FALCON RD, LIVINGSTON, NJ 07039 (Tel: 9736420280)

👤

Provider Name / Credentials Updated July 22, 2010

Recorded as SANDHYA SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2010

Internal Medicine (License #MA45456 in NJ)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Sandhya Shah. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1770513376

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: July 22, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

95 Falcon Rd

Livingston, NJ 07039

Phone: 9736420280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.