SUKETU SHAH (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1124050570

SUKETU SHAH (MD) is a healthcare provider. based in Clark, New Jersey. specializing in ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 25MA08095100 (NJ). The NPI Number for SUKETU SHAH (MD) is 1124050570

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
SUKETU SHAH (MD)
NPI
1124050570
Phone
(732) 382-0091
Address
77 BRANT AVENUE
Enumeration Date
7 July 2006
Last Update Date
13 July 2007

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
9739715596
Graduation Year
2001 (25 years ago)
PAC ID
0648283671
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20060717000178
Address ID
NJ079606136MO100XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

426 ENDOCRINOLOGY in NJ

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Provider Addresses for SUKETU SHAH (MD)

  • 77, Brant Avenue, Clark, Union County, New Jersey, 07066, United States

    SUITE 200

    CLARK, NJ 070661540

    Phone: (732) 382-0091

    Fax: (732) 382-8570

    Type: Mailing

  • 4, Progress Street, Potters, Edison, Middlesex County, New Jersey, 08820, United States

    SUITE B6

    EDISON, NJ 088201199

    Phone: (908) 222-2658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,359.

Total Amount is formed as General ($1,359) + Research ($0) + Ownership ($0) = $1,359.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($412).

Total Amount

$1,359

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-07-17

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060717000178IEndocrinologyNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes702370$0
99213Established patient office or other outpatient visit, 20-29 minutes8047$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99443Telephone medical discussion with physician, 21-30 minutes2727$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report2524$0
View full utilization report →

Insurance plans in this area (ZIP 07066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890703177View full group profile
NameSpecialtyState
-NY
-MA
Internal MedicineMA
O B S T E T R I C S/ G Y N E C O L O G YPA
-NJ
Internal MedicineMA
Cardiovascular Disease (Cardiology), Internal MedicineNJ
Internal MedicineMA
-MA
O B S T E T R I C S/ G Y N E C O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to SUKETU SHAH (MD)?
NPI 1124050570 is assigned to SUKETU SHAH (MD) under the national enumeration system.
Is SUKETU SHAH (MD) currently active in the NPI registry?
CMS-published data lists SUKETU SHAH (MD) as an active registrant.
What does SUKETU SHAH (MD) treat or focus on?
Patients typically see SUKETU SHAH (MD) under the specialty Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What location shows for SUKETU SHAH (MD)?
We surface Clark, New Jersey for SUKETU SHAH (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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