Pranay Sudhir Shah, D.O.
Internal Medicine Physician · Toms River, NJ
Pranay Sudhir Shah, D.O. is an internal medicine physician with a practice address in Toms River, New Jersey, and NPI 1528448115, issued on Jun 9, 2015. Check the license (New Jersey 25MB12482000, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Pranay Sudhir Shah
- Credential
- D.O.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 25MB12482000 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 99 Rte 37 W, Toms River, NJ 08755
- Phone
- (908) 217-7437
- Enumerated
- Jun 9, 2015
- Record last updated
- Feb 13, 2026
- Medicare enrollment
- Enrolled (PECOS I20251224002451); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Also registered at 99 Rte 37 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Lauren Campisano, PAMedical Physician Assistant1104316934
- Eileen DonnellyFamily Nurse Practitioner1467811026
- Ariel Easton, RDRegistered Dietitian1861279416
- Nicholas Flores, DNP, CRNACertified Registered Nurse Anesthetist1164996351
Verify Pranay Sudhir Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MB12482000Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 91.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Rwjbh Emergency Medicine Associates, LLCToms River, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pranay Sudhir Shah among 4,632 internal medicine physician records in New Jersey
Pranay Sudhir Shah, D.O. 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
- Graduated2015 · median 2000 among the 3,132 with a school on file
- Record last updated2026 · 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).
104 internal medicine physician records list a practice address in Toms River
They are 104 of the 2,671 NPPES records with a practice address in Toms River, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Toms River → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Thanaa Nelly Abraham, MDToms River, NJ 087551568442424
- Luzminda Anama, M.D.Toms River, NJ 087551487647202
- Victor Bugay, MDToms River, NJ 087551568416352
- Gregory Cuozzo, MDToms River, NJ 087551013962166
- Dilip Desai, M.D. PAToms River, NJ 087551144213794
- Anjana Mathur, M.D.Toms River, NJ 087551306895982
- Akshay Patel, MDToms River, NJ 087551396737581
- Benny Riviello, DOToms River, NJ 087551326011214
Common questions
What is Pranay Sudhir Shah, D.O.'s NPI number?
Pranay Sudhir Shah, D.O.'s National Provider Identifier (NPI) is 1528448115, issued on Jun 9, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Pranay Sudhir Shah, D.O. located?
The NPPES record lists a practice address at 99 Rte 37 W, Toms River, NJ, 08755. Phone: (908) 217-7437. Providers update this record themselves, so call before visiting.
How can I verify Pranay Sudhir Shah, D.O.'s license?
NPPES lists New Jersey license number 25MB12482000, as entered by the provider. 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.
What is Pranay Sudhir Shah, D.O.'s MIPS final score?
The 2023 MIPS final score is 91.3 of 100. 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.