Ketankumar Shah, MD
Internal Medicine Physician · Edison, NJ
Ketankumar Shah, MD is an internal medicine physician with a practice address in Edison, New Jersey, and NPI 1659761948, issued on Jan 26, 2015. Check the license on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Ketankumar Shah
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 054281 CT
Self-reported in NPPES; status is on the state search - Practice location
- 608 Cinder RD, Edison, NJ 08820
- Phone
- (732) 429-5499
- Enumerated
- Jan 26, 2015
- Record last updated
- Sep 1, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20150925001565); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Verify Ketankumar Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical ExaminersCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average internal medicine physician in 2024
343 Medicare Part D claims for 157 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 21 claims were for opioids.
Most prescribed
- Prednisone28 claims
- Cefpodoxime Proxetil21 claims
- Furosemide15 claims
- Metoprolol Succinate14 claims
- Amoxicillin-Clavulanate Potass11 claims
- Tramadol Hcl11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 30.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $198.28
4 payments; by number, the most common kind was food and beverage; the largest payer was ConvaTec Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 3 group practices
- Hospitalist Physicians OF New Jersey PAEdison, NJ
- The William W Backus HospitalNorwich, CT
- Windham Community Memorial Hospital IncWillimantic, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ketankumar Shah among 4,632 internal medicine physician records in New Jersey
Ketankumar Shah, MD is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 77% of them.
- NPI issued2015 · 77% of these records are older, 21% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2010 · median 2000 among the 3,132 with a school on file
- Record last updated2015 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
74 internal medicine physician records list a practice address in Edison
They are 74 of the 2,434 NPPES records with a practice address in Edison, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Edison → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Nausher Ahmad, MDEdison, NJ 088201245291996
- Ram Bangalore, M.D.Edison, NJ 088201659309227
- Paul Blum, M.D.Edison, NJ 088201386646016
- Peter Cook, MDEdison, NJ 088201962481432
- Sagar Desai, M.D.Edison, NJ 088201386649861
- Bankimchandra Desai, MDEdison, NJ 088201780618868
- Luca Desimone, M.D.Edison, NJ 088201104897388
- Nabila Gandhi, MDEdison, NJ 088201669452553
Common questions
What is Ketankumar Shah, MD's NPI number?
Ketankumar Shah, MD's National Provider Identifier (NPI) is 1659761948, issued on Jan 26, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Ketankumar Shah, MD located?
The NPPES record lists a practice address at 608 Cinder RD, Edison, NJ, 08820. Phone: (732) 429-5499. Providers update this record themselves, so call before visiting.
How can I verify Ketankumar Shah, MD's license?
Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ketankumar Shah, MD prescribe under Medicare Part D?
In 2024, Ketankumar Shah, MD had 343 Medicare Part D claims for 157 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Ketankumar Shah, MD's MIPS final score?
The 2023 MIPS final score is 30.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.