Sweta Shah
NPI 1003203118 · Family Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sweta Shah is a Family Medicine Physician provider in Toms River, NJ (NPI 1003203118).
Provider details
- NPI number
- 1003203118
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,732 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 642 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 623 | $96 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 342 | $20 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 289 | $137 |
| Annual, Face-To-Face Intensive Behavioral Therapy for Cardiovascular Disease, Individual, 15 MinutesG0446 | 246 | $26 |
| Administration of Influenza Virus VaccineG0008 | 133 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 118 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 392 | 103 |
| Atorvastatin Calcium | 388 | 113 |
| Alprazolam | 268 | 67 |
| Amlodipine Besylate | 267 | 87 |
| Metformin Hcl | 258 | 75 |
| Simvastatin | 244 | 74 |
| Losartan Potassium | 232 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$79 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2019-04-08
Frequently asked questions
- What is Sweta Shah's NPI number?
- Sweta Shah's National Provider Identifier (NPI) is 1003203118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sweta Shah's specialty?
- Sweta Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sweta Shah located?
- Sweta Shah's practice location on file with NPPES is 25 Mule Rd Unit B4, Toms River, NJ 08755-5037.
- What is Sweta Shah's phone number?
- The practice phone number listed in the NPPES registry for Sweta Shah is (732) 341-0020.
- Does Sweta Shah accept Medicare?
- Sweta Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sweta Shah's NPI active?
- Yes — Sweta Shah's NPI (1003203118) is active in the NPPES registry as of the last update on 2019-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.