Shefali Shah, M.D.
Gastroenterology Physician · Oakhurst, NJ
Shefali Shah, M.D. is a gastroenterology physician with a practice address in Oakhurst, New Jersey, and NPI 1720469950, issued on Jun 12, 2015. Check the license (New Jersey 25MA11237700, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Shefali Shah
- Credential
- M.D.
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 25MA11237700 NJ
S31427047559882 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 1912 State Route 35 Ste 201, Oakhurst, NJ 07755
- Phone
- (732) 389-5004
- Enumerated
- Jun 12, 2015
- Record last updated
- Mar 6, 2025
- Medicare enrollment
- Enrolled (PECOS I20211030000052); accepts Medicare assignment
- Medical or professional school
- Drexel University College Of Medicine, 2015
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 735 in New Jersey → Look up another NPI →
Also registered at 1912 State Route 35 Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kathryn BacciPhysician Assistant1861075392
Verify Shefali 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 25MA11237700Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
42% fewer Medicare Part D claims than the average gastroenterology physician in 2024
474 Medicare Part D claims for 152 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims.
Most prescribed
- Omeprazole85 claims
- Pantoprazole Sodium74 claims
- Famotidine38 claims
- Sod Sulf-Potass Sulf-Mag Sulf37 claims
- Hydrocortisone20 claims
- Sucralfate16 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): 97.5 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: $1,684.86
93 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 13,350 providers of this specialty with any payment received $5,015.95 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
- Allied Digestive Health LLCOakhurst, NJ
- Barnabas Health Medical Group, PCLong Branch, NJ
- Hackensack Meridian Health Medical Group - Specialty Care PCNeptune, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shefali Shah among 735 gastroenterology physician records in New Jersey
Shefali Shah, M.D. is one of 735 gastroenterology physician records with a practice address in New Jersey. 89% 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 85% of them.
- NPI issued2015 · 85% of these records are older, 13% newer
- In a Medicare fileYes · 89% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2015 · median 2000 among the 564 with a school on file
- Record last updated2025 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 gastroenterology physician records list a practice address in Oakhurst
They are 13 of the 240 NPPES records with a practice address in Oakhurst, and 735 gastroenterology physician records in New Jersey.
All 735 in New Jersey → Every provider in Oakhurst → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Reza Akhtar, MDOakhurst, NJ 077551629195748
- Michael Aquino, MDOakhurst, NJ 077551093786121
- Alexander Browne, M.D.Oakhurst, NJ 077551275809071
- Shamina Dhillon, M.D.Oakhurst, NJ 077551992779300
- Frederic Gross, MDOakhurst, NJ 077551760453658
- Dharmesh Kaswala, MDOakhurst, NJ 077551639330012
- Andrew Kruger, DOOakhurst, NJ 077551821450388
- Junsuke Maki, MDOakhurst, NJ 077551184824450
Common questions
What is Shefali Shah, M.D.'s NPI number?
Shefali Shah, M.D.'s National Provider Identifier (NPI) is 1720469950, issued on Jun 12, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Shefali Shah, M.D. located?
The NPPES record lists a practice address at 1912 State Route 35 Ste 201, Oakhurst, NJ, 07755. Phone: (732) 389-5004. Providers update this record themselves, so call before visiting.
How can I verify Shefali Shah, M.D.'s license?
NPPES lists New Jersey license number 25MA11237700, 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.
How much does Shefali Shah, M.D. prescribe under Medicare Part D?
In 2024, Shefali Shah, M.D. had 474 Medicare Part D claims for 152 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Shefali Shah, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.5 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.