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DR. REZA ALI SHAH DO NPI 1891740080


NPI Information

NPI: 1891740080
Provider Name: DR. REZA ALI SHAH, DO
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
2063 KLOCKNER RD
HAMILTON, NJ
ZIP 08690
Phone: (609) 586-9788
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DR. Reza Ali Shah, DO is a vascular surgery surgery in Hamilton, NJ with 31 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Reza Ali Shah, DO NPI is 1891740080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:1993

The provider's business location address is:

2063 KLOCKNER RD
HAMILTON, NJ
ZIP 08690-414
Phone: (609) 586-9788
Fax: (609) 586-1232

The NPI 1891740080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 6/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery25MB06764700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100948MEDICARE PINNEW JERSEY
22039854840OTHERNEW JERSEYHORIZON
33K2190OTHERNEW JERSEYHEALTHNET
4203985484OTHERNEW JERSEYTAX ID
55727757OTHERNEW JERSEYAETNA
67180223002OTHERNEW JERSEYCIGNA
7P1626337OTHERNEW JERSEYOXFORD
87279755OTHERNEW JERSEYUNITED HEALTHCARE
9G92879MEDICARE UPINNEW JERSEY
102690963000OTHERNEW JERSEYAMERIHEALTH
1160032148OTHERNEW JERSEYHORIZON NJ HEALTH
127947801MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.