DR. REZA ALI SHAH (DO) – Vascular Surgery Physician, NPI 1891740080

DR. REZA ALI SHAH (DO) is a healthcare provider. based in Mercerville, New Jersey. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials DO. They hold a License No. 25MB06764700 (NJ). The NPI Number for DR. REZA ALI SHAH (DO) is 1891740080

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. REZA ALI SHAH (DO)
NPI
1891740080
Phone
(609) 586-9788
Address
PO BOX 3444
Enumeration Date
24 May 2006
Last Update Date
24 June 2008

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
7323648000
Graduation Year
1993 (33 years ago)
PAC ID
4486671641
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20051027000074
Address ID
NJ087015897LA475XX70XX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

984 GENERAL SURGERY in NJ

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Provider Addresses for DR. REZA ALI SHAH (DO)

  • PO BOX 3444

    MERCERVILLE, NJ 086190444

    Phone: (609) 586-9788

    Fax: (609) 586-1323

    Type: Mailing

  • 2063;2065, Klockner Road, Hamilton Square, Hamilton Township, Mercer County, New Jersey, 08690, United States

    HAMILTON, NJ 086903414

    Phone: (609) 586-9788

    Fax: (609) 586-1232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 59 Open Payments records for all available years, with a total value of $7,433.

Total Amount is formed as General ($7,433) + Research ($0) + Ownership ($0) = $7,433.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,593).

Total Amount

$7,433

General + Research + Ownership

Payments

59

Total payment records

General Amount

$7,433

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2005-10-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051027000074IGeneral SurgeryNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16183$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes130112$0
29581Application of vein wound compression bandages on lower leg, ankle, and foot10815$0
99213Established patient office or other outpatient visit, 20-29 minutes10362$0
99214Established patient office or other outpatient visit, 30-39 minutes6345$0
View full utilization report →

Insurance plans in this area (ZIP 08619)

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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: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What number should I use to identify DR. REZA ALI SHAH (DO) for billing?
Administrative and clinical systems typically use NPI 1891740080 for DR. REZA ALI SHAH (DO).
Is DR. REZA ALI SHAH (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. REZA ALI SHAH (DO) as active.
What type of care does DR. REZA ALI SHAH (DO) provide?
DR. REZA ALI SHAH (DO)'s profile centers on Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. REZA ALI SHAH (DO) in Mercerville, New Jersey?
For routing, start with Mercerville, New Jersey for DR. REZA ALI SHAH (DO), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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