Active NPI 1154689156 Individual Practitioner Female Practitioner

Dr. Shipra Shah , MD

Internal Medicine • Wayne, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Shipra Shah, MD is a certified Internal Medicine practicing in Wayne, NJ. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Shah delivers high-quality medical care to the local community at 1680 ROUTE 23 STE 160.

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

Frequently performed procedures and clinical services include remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, management using the results of remote vital sign monitoring per calendar month, first, collection and interpretation of physical parameters stored in computers minimum of. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1680 Route 23 Ste 160

Wayne, NJ 074707512

Telephone 9732212500

Associated Practice Facility / Clinic

🏢 Shah Primary Care Facility NPI 1750056644

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wayne, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -15.7 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

47 Specialists

Practicing in Wayne, NJ (4957 Statewide)

Telehealth Adoption Rate

25.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (17 Years) 17 Yrs

Wayne Specialty Average (32.7 Years) 32.7 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
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	1,977	131	$88.25	$42.88
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	1,176	132	$109.86	$53.94
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	1,156	131	$162.00	$57.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	838	230	$285.76	$139.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	622	231	$56.49	$17.55
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	568	104	$118.84	$54.32
99213 Established patient office or other outpatient visit, typically 15 minutes	133	84	$201.95	$99.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	117	74	$100.00	$40.55
93000 Routine ekg using at least 12 leads including interpretation and report	110	105	$30.00	$15.78
82962 Blood glucose (sugar) test performed by hand-held instrument	92	37	$30.00	$3.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	85	17	$30.00	$1.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	17	$16.87	$15.84
G0442 Annual alcohol misuse screening, 5 to 15 minutes	80	80	$30.00	$21.06
G0444 Annual depression screening, 5 to 15 minutes	76	76	$30.00	$21.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$367.29	$141.79
87400 Detection test for Influenza virus, A or B	46	39	$30.00	$13.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	34	$395.23	$196.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$489.26	$239.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$371.20	$182.26
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	32	32	$45.56	$22.82
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	26	$100.00	$16.20
99496 Transitional care management services for problem of high complexity	14	12	$623.32	$307.96

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	627	173	$283.19	$139.85
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	578	106	$109.86	$54.05
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	546	106	$88.16	$43.37
99091 Collection and interpretation of physical parameters stored in computers minimum of 30 minutes	543	101	$162.00	$58.00
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	406	97	$118.84	$58.47
99213 Established patient office or other outpatient visit, typically 15 minutes	275	106	$202.16	$99.23
82962 Blood glucose (sugar) test performed by hand-held instrument	143	49	$22.59	$3.21
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	106	106	$45.56	$22.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	62	62	$43.01	$20.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$369.36	$182.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$290.06	$142.20
93000 Routine ekg using at least 12 leads including interpretation and report	56	51	$32.57	$16.15
G0444 Annual depression screening, 5 to 15 minutes	55	55	$43.01	$20.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	11	$32.04	$15.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	52	11	$14.80	$1.48
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	51	40	$100.00	$34.62
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	32	25	$100.00	$40.55
99496 Transitional care management services for problem of high complexity	25	23	$608.56	$306.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$399.58	$196.59

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	387	117	$168.55	$142.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	126	126	$259.82	$182.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	95	58	$98.44	$41.03
99213 Established patient office or other outpatient visit, typically 15 minutes	89	53	$131.55	$101.67
93000 Routine ekg using at least 12 leads including interpretation and report	45	42	$34.61	$16.22
82962 Blood glucose (sugar) test performed by hand-held instrument	26	19	$31.14	$3.22
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	19	16	$102.47	$30.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$177.65	$145.95
99496 Transitional care management services for problem of high complexity	16	12	$300.00	$295.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	308	163	$285.00	$110.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	88	$200.00	$77.53
99238 Hospital discharge day management, 30 minutes or less	71	70	$200.00	$78.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	38	$555.00	$212.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$365.98	$188.21
99239 Hospital discharge day management, more than 30 minutes	15	15	$295.00	$114.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	369	175	$246.22	$113.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	332	140	$172.62	$78.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	81	79	$476.11	$220.84
99239 Hospital discharge day management, more than 30 minutes	55	54	$252.45	$117.17
99238 Hospital discharge day management, 30 minutes or less	34	33	$171.76	$79.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	13	$100.77	$42.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$320.00	$142.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	346	167	$240.00	$108.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	262	136	$165.97	$76.00
99239 Hospital discharge day management, more than 30 minutes	120	116	$239.25	$112.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	57	$363.00	$120.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	69	$447.04	$211.31
99213 Established patient office or other outpatient visit, typically 15 minutes	55	44	$246.00	$81.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$90.00	$41.18
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$57.00	$19.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$310.25	$143.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$396.00	$128.48
99238 Hospital discharge day management, 30 minutes or less	17	17	$166.18	$76.49
G0444 Annual depression screening, 5 to 15 minutes	14	14	$63.00	$20.29

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	317	156	$310.51	$118.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	135	$316.67	$76.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	195	100	$258.40	$109.39
99213 Established patient office or other outpatient visit, typically 15 minutes	165	117	$202.24	$80.60
99239 Hospital discharge day management, more than 30 minutes	98	96	$434.41	$111.15
93000 Routine ekg using at least 12 leads including interpretation and report	58	57	$58.14	$19.09
G0008 Administration of influenza virus vaccine	35	34	$35.00	$23.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$677.43	$141.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$389.76	$127.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$585.35	$214.60
90662 Influenza vaccine split virus, preservative free	33	33	$43.18	$39.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	16	$137.31	$40.21
99497 Advance care planning, first 30 minutes	23	23	$279.00	$91.48
G0009 Administration of pneumococcal vaccine	12	12	$47.67	$23.23

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	402	212	$186.00	$117.55
99213 Established patient office or other outpatient visit, typically 15 minutes	367	185	$130.00	$79.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	226	138	$413.43	$75.30
99239 Hospital discharge day management, more than 30 minutes	74	71	$705.75	$111.37
G0008 Administration of influenza virus vaccine	45	45	$35.00	$29.01
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	44	44	$35.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$184.00	$128.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	19	$507.90	$109.74
82962 Blood glucose (sugar) test performed by hand-held instrument	24	16	$25.00	$2.92
99496 Transitional care management services for problem of high complexity	23	19	$648.00	$255.72
G0009 Administration of pneumococcal vaccine	20	20	$35.00	$29.01
99225 Subsequent observation care, typically 25 minutes per day	18	16	$451.99	$74.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$819.64	$215.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$775.45	$142.15
90670 Pneumococcal vaccine for injection into muscle	14	14	$216.00	$188.79
99219 Hospital observation care, typically 50 minutes	12	12	$796.98	$140.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$306.00	$180.32

Medical Specialties & State Licenses

CMS Verified: 2024-03-08

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA09692000

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Sabreena Moose , PA-C

Family Medicine - Adult Medicine

NPI 1538090576

Physician Assistant (Certified)

Priya Patel

Physician Assistant

NPI 1750127312

Career & Practice History Timeline

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

20 Historical Events

📍

Updated Practice Location March 08, 2024

Registered at 1680 ROUTE 23 STE 160, WAYNE, NJ 074707512 (Tel: 9732212500)

📍

Updated Business Mailing Address March 08, 2024

Registered at 1680 ROUTE 23 STE 160, WAYNE, NJ 074707512 (Tel: 9732212500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2024

Internal Medicine (License #25MA09692000 in NJ)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Internal Medicine (License #287409 in NY)

📍

Updated Practice Location September 17, 2019

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414057 (Tel: 8457036999)

📍

Updated Business Mailing Address September 17, 2019

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414057 (Tel: 8457036999)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2019

Hospitalist (License #287409 in NY)

✅

NPI Profile Active August 08, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 08, 2017

Registered at 2 COBBLE STONE CT, WAYNE, NJ 07470 (Tel: 4438137534)

📍

Updated Practice Location August 08, 2017

Registered at 1055 HAMBURG TPKE, # 200, WAYNE, NJ 074703235 (Tel: 9732481440)

👤

Provider Name / Credentials Updated August 08, 2017

Recorded as SHIPRA SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2017

Internal Medicine (License #25MA09692000 in NJ)

📍

Updated Practice Location April 11, 2017

Registered at 1055 HAMBURG TPKE, # 200, WAYNE, NJ 074703235 (Tel: 9732481440)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2017

Internal Medicine (License #25MA09692000 in NJ)

✅

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 30, 2015

Registered at 1770 HAMBURG TURNPIKE, # 205, WAYNE, NJ 07470 (Tel: 9732481440)

📍

Updated Business Mailing Address June 30, 2015

Registered at PO BOX 416457, BOSTON, MA 022416457 (Tel: 9736566280)

👤

Provider Name / Credentials Updated June 30, 2015

Recorded as SHIPRA SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 26, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154689156

Entity Type:

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

Enumeration Date: April 26, 2012

Last Update: March 08, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1680 Route 23 Ste 160

Wayne, NJ 074707512

Phone: 9732212500

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.