Dhiren Shah, MD
NPI 1356337810 · Pulmonary Disease Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dhiren Shah, MD is a Pulmonary Disease Physician provider in Toms River, NJ (NPI 1356337810).
Provider details
- NPI number
- 1356337810
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA07639300 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
7,033 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) |
|---|---|---|
| Electrocardiogram (ecg) 1 to 3 Leads With Review By Physician Only93042 | 1,287 | $7 |
| Test to Measure Rate of Airflow94375 | 1,072 | $42 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 953 | $124 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 789 | $137 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 565 | $83 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 740 | 204 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 682 | 303 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 681 | 162 |
| Fluticasone Propionate | 424 | 216 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 174 | 43 |
| Fluticasone Propion/Salmeterolbrand: Fluticasone-Salmeterol | 173 | 52 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$325 across 7 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
- 2005-09-21
- Last updated
- 2014-12-22
Frequently asked questions
- What is Dhiren Shah's NPI number?
- Dhiren Shah's National Provider Identifier (NPI) is 1356337810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dhiren Shah's specialty?
- Dhiren Shah is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Dhiren Shah located?
- Dhiren Shah's practice location on file with NPPES is 3 Plaza Dr, Toms River, NJ 08757-3756.
- What is Dhiren Shah's phone number?
- The practice phone number listed in the NPPES registry for Dhiren Shah is (732) 341-1380.
- Does Dhiren Shah accept Medicare?
- Dhiren Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dhiren Shah's NPI active?
- Yes — Dhiren Shah's NPI (1356337810) is active in the NPPES registry as of the last update on 2014-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.