DR. SHUBHAMVADA NIHALANI (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1154500304
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,515 FAMILY PRACTICE in NJ
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Provider Addresses for DR. SHUBHAMVADA NIHALANI (MD)
200, West Grant Avenue, Edison, Middlesex County, New Jersey, 08820, United States
EDISON, NJ 088201333
Phone: (501) 749-2262
Type: Mailing
Saint Peter's University Hospital, 254, Easton Avenue, New Brunswick, Middlesex County, New Jersey, 08901, United States
CARES BUILDING 4TH FLOOR
NEW BRUNSWICK, NJ 089011766
Phone: (732) 745-8600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-09-15
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 |
|---|---|---|---|---|
| I20080915000438 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 39 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 08820)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | NJ | |
| Internal Medicine | NJ | |
| Pulmonary Disease, Critical Care (Intensivists) | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| Internal Medicine | NJ | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Nurse Practitioner | NJ |
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