DR. SAMIR V SHAH (M.D.) – Otolaryngology Physician, NPI 1821094194
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
322 OTOLARYNGOLOGY in NJ
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Provider Addresses for DR. SAMIR V SHAH (M.D.)
PO BOX 95000-5585
PHILADELPHIA, PA 191955585
Phone: (856) 667-1575
Fax: (856) 946-1747
Type: Mailing
1020, North Kings Highway, Greenhaven, Cherry Hill Township, Camden County, New Jersey, 08034, United States
SUITE 201
CHERRY HILL, NJ 080341906
Phone: (856) 667-1575
Fax: (856) 210-2849
Type: Location
660 WHITE PLAINS RD FL 4
TARRYTOWN, NY 105915187
Phone: (914) 333-5801
Type: Mailing
200 BOWMAN DR STE D285
VOORHEES, NJ 080439626
Phone: (856) 576-5746
Fax: (856) 519-5295
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,217.
Total Amount is formed as General ($1,217) + Research ($0) + Ownership ($0) = $1,217.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: GENZYME CORPORATION ($332).
Total Amount
$1,217
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-02-21
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 |
|---|---|---|---|---|
| I20110221000626 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 735 | 455 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 240 | 202 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 231 | 186 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 202 | 202 | $0 |
| 69210 | Removal of impacted ear wax | 143 | 133 | $0 |
Insurance plans in this area (ZIP 19195)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | NJ | 92567 | Eardrum testing using ear probe | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | NY | |
| Qualified Audiologist | NJ | |
| O T O L A R Y N G O L O G Y | NY | |
| Qualified Audiologist | NJ | |
| - | NY | |
| O T O L A R Y N G O L O G Y | NY | |
| O T O L A R Y N G O L O G Y | NY | |
| O T O L A R Y N G O L O G Y | NY | |
| - | NJ | |
| O T O L A R Y N G O L O G Y | NY |
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