Suketu Shah, MD
NPI 1124050570 · Endocrinology, Diabetes & Metabolism Physician · Edison, NJ
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suketu Shah, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Edison, NJ (NPI 1124050570).
Provider details
- NPI number
- 1124050570
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08095100 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
969 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 | 820 | $140 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $98 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 48 | $37 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 31 | $182 |
Typical Medicare-allowed amounts for these services range $37–$182 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 87 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 558 | 92 |
| Levothyroxine Sodium | 539 | 155 |
| Empagliflozinbrand: Jardiance | 359 | 74 |
| Metformin Hclbrand: Metformin Hcl Er | 291 | 83 |
| Tirzepatidebrand: Mounjaro | 291 | 54 |
| Metformin Hcl | 287 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$737 across 44 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
- 2006-07-07
- Last updated
- 2007-07-13
Frequently asked questions
- What is Suketu Shah's NPI number?
- Suketu Shah's National Provider Identifier (NPI) is 1124050570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suketu Shah's specialty?
- Suketu Shah is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Suketu Shah located?
- Suketu Shah's practice location on file with NPPES is 4 Progress St, Edison, NJ 08820-1199.
- What is Suketu Shah's phone number?
- The practice phone number listed in the NPPES registry for Suketu Shah is (908) 222-2658.
- Does Suketu Shah accept Medicare?
- Suketu Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suketu Shah's NPI active?
- Yes — Suketu Shah's NPI (1124050570) is active in the NPPES registry as of the last update on 2007-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.