Pranay Shah, D.O.
NPI 1528448115 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pranay Shah, D.O. is a Internal Medicine Physician provider in Toms River, NJ (NPI 1528448115).
Provider details
- NPI number
- 1528448115
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MB12482000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
307 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) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 307 | $195 |
Typical Medicare-allowed amounts for these services range $195–$195 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-09
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Frequently asked questions
- What is Pranay Shah's NPI number?
- Pranay Shah's National Provider Identifier (NPI) is 1528448115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pranay Shah's specialty?
- Pranay Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pranay Shah located?
- Pranay Shah's practice location on file with NPPES is 99 Rte 37 W, Toms River, NJ 08755-6423.
- What is Pranay Shah's phone number?
- The practice phone number listed in the NPPES registry for Pranay Shah is (908) 217-7437.
- Does Pranay Shah accept Medicare?
- Pranay Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pranay Shah's NPI active?
- Yes — Pranay Shah's NPI (1528448115) is active in the NPPES registry as of the last update on 2026-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.