Dr Dhiren A Shah, MD - Medicare Pulmonary Disease in Toms River, NJ

Dr Dhiren A Shah, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Toms River, New Jersey. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Ocean Pulmonary Associates, P.a. and his current practice location is 3 Plaza Dr, Suite 2, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 341-1380.

Dr Dhiren A Shah is licensed to practice in New Jersey (license number 25MA07639300) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356337810.

Contact Information

Dr Dhiren A Shah, MD
3 Plaza Dr, Suite 2,
Toms River, NJ 08757-3756
(732) 341-1380
(732) 505-9296

Map and Direction




Physician's Profile

Full NameDr Dhiren A Shah
GenderMale
SpecialityPulmonary Disease
Experience29 Years
Location3 Plaza Dr, Toms River, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dhiren A Shah graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1356337810
  • Provider Enumeration Date: 09/21/2005
  • Last Update Date: 12/22/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2769465947
  • Enrollment ID: I20040609000766

Medical Identifiers

Medical identifiers for Dr Dhiren A Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356337810NPI-NPPES
0046884MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 25MA07639300 (New Jersey)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 25MA07639300 (New Jersey)Primary
207RS0012XInternal Medicine - Sleep Medicine 25MA07639300 (New Jersey)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ocean Medical CenterBrick, NJHospital
Community Medical CenterToms river, NJHospital
Southern Ocean Medical CenterManahawkin, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ocean Pulmonary Associates, P.a.11533662168

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dhiren A Shah allows following entities to bill medicare on his behalf.
Entity NameOcean Pulmonary Associates, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174645154
PECOS PAC ID: 1153366216
Enrollment ID: O20050621000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dhiren A Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dhiren A Shah, MD
3 Plaza Dr, Suite 2,
Toms River, NJ 08757-3756

Ph: (732) 341-1380
Dr Dhiren A Shah, MD
3 Plaza Dr, Suite 2,
Toms River, NJ 08757-3756

Ph: (732) 341-1380

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
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Phone: 732-240-0404    Fax: 732-244-3555

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.