Shefali Shah, M.D.
NPI 1720469950 · Gastroenterology Physician · Oakhurst, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shefali Shah, M.D. is a Gastroenterology Physician provider in Oakhurst, NJ (NPI 1720469950).
Provider details
- NPI number
- 1720469950
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- S31427047559882 (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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
807 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 185 | $122 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 124 | $135 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 104 | $81 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 90 | $104 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 82 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 85 | 39 |
| Pantoprazole Sodium | 74 | 40 |
| Famotidine | 38 | 17 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 37 | 37 |
| Hydrocortisone | 20 | 14 |
| Sucralfate | 16 | — |
| Lactulose | 13 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,685 across 93 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
Additional practice locations (1)
- 245 N 15th St6th FloorPhiladelphia, PA 19102-1101Phone: (215) 762-7916Fax: (215) 762-7765
Registry dates
- Enumerated
- 2015-06-12
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Shefali Shah's NPI number?
- Shefali Shah's National Provider Identifier (NPI) is 1720469950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shefali Shah's specialty?
- Shefali Shah is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Shefali Shah located?
- Shefali Shah's practice location on file with NPPES is 1912 State Route 35 Ste 201, Oakhurst, NJ 07755-2768.
- What is Shefali Shah's phone number?
- The practice phone number listed in the NPPES registry for Shefali Shah is (732) 389-5004.
- Does Shefali Shah accept Medicare?
- Shefali Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shefali Shah's NPI active?
- Yes — Shefali Shah's NPI (1720469950) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.