Hetal Shah, M.D.
NPI 1497784094 · Family Medicine Physician · Marlton, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hetal Shah, M.D. is a Family Medicine Physician provider in Marlton, NJ (NPI 1497784094).
Provider details
- NPI number
- 1497784094
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA075031 (NJ)
Specialties & taxonomies
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
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
1,864 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 | 666 | $112 |
| 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'SG2211 | 492 | $17 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 | 236 | $20 |
| Administration of Influenza Virus VaccineG0008 | 85 | $34 |
| Advance Care Planning, First 30 Minutes99497 | 80 | $73 |
| Management Using the Results of Remote Vital Sign Monitoring Per Calendar Month, First 20 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 127 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 455 | 134 |
| Rosuvastatin Calcium | 313 | 90 |
| Amlodipine Besylate | 255 | 75 |
| Levothyroxine Sodium | 201 | 56 |
| Ezetimibe | 179 | 55 |
| Pantoprazole Sodium | 162 | 53 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,969 across 178 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
- 2006-07-03
- Last updated
- 2014-11-25
Frequently asked questions
- What is Hetal Shah's NPI number?
- Hetal Shah's National Provider Identifier (NPI) is 1497784094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hetal Shah's specialty?
- Hetal Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hetal Shah located?
- Hetal Shah's practice location on file with NPPES is 777 Route 70 East, Marlton, NJ 08053-2345.
- What is Hetal Shah's phone number?
- The practice phone number listed in the NPPES registry for Hetal Shah is (856) 983-9939.
- Does Hetal Shah accept Medicare?
- Hetal Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hetal Shah's NPI active?
- Yes — Hetal Shah's NPI (1497784094) is active in the NPPES registry as of the last update on 2014-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.