Dr Pranay Sudhir Shah, DO - Medicare Hospitalist in Toms River, NJ

Dr Pranay Sudhir Shah, DO is a medicare enrolled "Internal Medicine" physician in Toms River, New Jersey. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2015 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is 99 Rte 37 W, Toms River, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 217-7437.

Dr Pranay Sudhir Shah is licensed to practice in New Jersey (license number 25MB12482000) 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 1528448115.

Contact Information

Dr Pranay Sudhir Shah, DO
99 Rte 37 W,
Toms River, NJ 08755-6423
(908) 217-7437
Not Available

Map and Direction




Physician's Profile

Full NameDr Pranay Sudhir Shah
GenderMale
SpecialityHospitalist
Experience11 Years
Location99 Rte 37 W, 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 Pranay Sudhir Shah attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2015
  NPI Data:
  • NPI Number: 1528448115
  • Provider Enumeration Date: 06/09/2015
  • Last Update Date: 02/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3476842683
  • Enrollment ID: I20181011000899

Medical Identifiers

Medical identifiers for Dr Pranay Sudhir Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528448115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MB12482000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical CenterToms river, NJHospital
Plainview HospitalPlainview, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore-lij Medical Pc33757015685625

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 Pranay Sudhir Shah allows following entities to bill medicare on his behalf.
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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 Pranay Sudhir 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 Pranay Sudhir Shah, DO
99 Rte 37 W,
Toms River, NJ 08755-6423

Ph: (718) 810-2062
Dr Pranay Sudhir Shah, DO
99 Rte 37 W,
Toms River, NJ 08755-6423

Ph: (908) 217-7437

Reviews and Comments


Internal Medicine Doctors in Toms River, NJ

Dr. Vanie S Ramachandra Rao, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14 Hospital Dr, Toms River, NJ 08755
Phone: 732-244-3100    
Dr. Gregory J Cuozzo, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 Commons Way, Toms River, NJ 08755
Phone: 732-349-4434    Fax: 732-349-9290
Dr. Prabhat Kumar Sinha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Ste 3, Toms River, NJ 08755
Phone: 732-341-9900    Fax: 732-341-9968
Dr. Satish K Bhutani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1416 Hooper Ave, Toms River, NJ 08753
Phone: 848-223-7120    Fax: 732-349-6919
Dr. Joseph Anthony Decorso Jr., MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 20 Montreal Ct, Toms River, NJ 08757
Phone: 973-699-1830    
Dr. Murat Karatepe, MD FACC
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Mule Rd, Suite B2, Toms River, NJ 08755
Phone: 732-505-9005    Fax: 732-505-9919
Sizan B Patel, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9 Hospital Dr Ste B1, Toms River, NJ 08755
Phone: 732-363-7200    Fax: 866-662-4129

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.