Sonya Shah, MD
NPI 1295276467 · Internal Medicine Physician · Perth Amboy, NJ
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonya Shah, MD is a Internal Medicine Physician provider in Perth Amboy, NJ (NPI 1295276467).
Provider details
- NPI number
- 1295276467
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30491201 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
165 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 67 | $85 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 34 | $87 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 32 | $141 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 32 | $54 |
Typical Medicare-allowed amounts for these services range $54–$141 (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 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 25 | 23 |
| Amlodipine Besylate | 16 | 13 |
| Apixabanbrand: Eliquis | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 275 Hobart StPerth Amboy, NJ 08861-3396Phone: (732) 376-9333Fax: (732) 979-2415
Registry dates
- Enumerated
- 2017-03-20
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Frequently asked questions
- What is Sonya Shah's NPI number?
- Sonya Shah's National Provider Identifier (NPI) is 1295276467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonya Shah's specialty?
- Sonya Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sonya Shah located?
- Sonya Shah's practice location on file with NPPES is 530 New Brunswick Ave, Perth Amboy, NJ 08861-3654.
- What is Sonya Shah's phone number?
- The practice phone number listed in the NPPES registry for Sonya Shah is (324) 423-7007.
- Does Sonya Shah accept Medicare?
- Sonya Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonya Shah's NPI active?
- Yes — Sonya Shah's NPI (1295276467) is active in the NPPES registry as of the last update on 2025-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.