DHAVAL D SHAH (PA-C) – Physician Assistant, NPI 1003309113
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,576 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for DHAVAL D SHAH (PA-C)
87, Summit Avenue, Hackensack, Bergen County, New Jersey, 07601, United States
HACKENSACK, NJ 076011262
Phone: (201) 489-0022
Fax: (201) 489-6991
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2023-05-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($32).
Total Amount
$52
General + Research + Ownership
Payments
2
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $32 |
| CSL Behring | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180918002028 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 114 | 109 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 110 | 110 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 37 | 37 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 18 | $0 |
| 99291 | Critical care, first 30-74 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 07601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Internal Medicine | NJ | |
| Infectious Disease, Internal Medicine | TN | |
| Internal Medicine | NJ | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | FL | |
| - | NY | |
| Internal Medicine | NJ | |
| - | TN | |
| Family Practice | NJ | |
| Internal Medicine | MI |
Reviews
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