Provider profile

Shefali ShahMD

Internal Medicine, Gastroenterology

2 locationsNPI 1720469950
1912 State Route 35 Ste 201, Oakhurst, NJ 07755732-389-5004

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Medicare Advantage plans for Monmouth County, NJ and Philadelphia County, PA.

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Directory results See what each insurance company reports

Listed on 41 plans so far

Some of Aetna Medicare, UnitedHealthcare, Devoted, Humana, Clover Health, Wellcare, Wellpoint, Horizon Blue Cross Blue Shield of New Jersey, Geisinger Gold, HealthSpring, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Perennial Advantage, UPMC for Life, UPMC for Life Complete Care and VISTA Health Plan Inc.'s 2027 plans in Monmouth County, NJ and Philadelphia County, PA haven't been checked yet.

The 136 Medicare Advantage plans we show for Monmouth County, NJ and Philadelphia County, PA in 2027

  • 41 list Shefali
  • 5 not listed
  • 90 not checked yet

Aetna Medicare

10 plans list Shefali; not listed on 2 other plans.

10plans
  • Aetna Medicare Eagle Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755
    • 1270 State Route 35, Middletown, NJ, 07748

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3152-045-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755
    • 1270 State Route 35, Middletown, NJ, 07748

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-504-000Medicare.gov
    $0a month
  • Aetna Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1270 State Route 35, Middletown, NJ, 07748

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-392-000Medicare.gov
    $0a month
  • Aetna Medicare Prime Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1270 State Route 35, Middletown, NJ, 07748

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-277-000Medicare.gov
    $0a month

11 more Aetna Medicare plans haven't been checked yet.

UnitedHealthcare

10 plans list Shefali; not listed on 1 other plan.

10plans
  • AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-038-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-046-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH0755-037-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-059-000Medicare.gov
    $0a month

13 more UnitedHealthcare plans haven't been checked yet.

Devoted

6 plans list Shefali.

6plans
  • DEVOTED CHOICE 001 NJ (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1270 State Route 35, Middletown, NJ, 07748
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 98 James St, Ste 200, Edison, NJ, 08820

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH1390-001-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 002 NJ (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1270 State Route 35, Middletown, NJ, 07748
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 98 James St, Ste 200, Edison, NJ, 08820

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH1390-002-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK EXTRAS 006 NJ (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1270 State Route 35, Middletown, NJ, 07748
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 98 James St, Ste 200, Edison, NJ, 08820

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH1390-006-000Medicare.gov
    $0a month
  • DEVOTED C-SNP CHOICE ENHANCED 004 NJ (PPO C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1270 State Route 35, Middletown, NJ, 07748
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 98 James St, Ste 200, Edison, NJ, 08820

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverageH1390-004-000Medicare.gov
    $0a month

9 more Devoted plans haven't been checked yet.

Humana

5 plans list Shefali; not listed on 2 other plans.

5plans
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 98 James St, Ste 200, Edison, NJ, 08820
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 1270 State Route 35, Middletown, NJ, 07748
    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-174-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-319 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 98 James St, Ste 200, Edison, NJ, 08820
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 1270 State Route 35, Middletown, NJ, 07748
    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-319-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-045 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 98 James St, Ste 200, Edison, NJ, 08820
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 1270 State Route 35, Middletown, NJ, 07748
    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-045-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-127 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 98 James St, Ste 200, Edison, NJ, 08820
    • 195 Route 9, Ste 106, Englishtown, NJ, 07726
    • 1270 State Route 35, Middletown, NJ, 07748
    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-127-000Medicare.gov
    $0a month

14 more Humana plans haven't been checked yet.

Clover Health

4 plans list Shefali.

4plans
  • Clover Health Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-004-000Medicare.gov
    $0a month
  • Clover Health Choice Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-054-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-061-000Medicare.gov
    $0a month
  • Clover Health Choice Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-007-000Medicare.gov
    $36.30a month

1 more Clover Health plan hasn't been checked yet.

Wellcare

3 plans list Shefali.

3plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-015-000Medicare.gov
    $0a month
  • Wellcare Low Premium (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-002-000Medicare.gov
    $35a month
  • Wellcare Fidelis Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 2, Oakhurst, NJ, 07755

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0913-013-000Medicare.gov
    $28.40a month

3 more Wellcare plans haven't been checked yet.

Wellpoint

2 plans list Shefali.

2plans
  • Wellpoint Kidney Care (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3 starsH3240-017-000Medicare.gov
    $0a month
  • Wellpoint Full Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1945 State Route 33, Neptune, NJ, 07753

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3240-013-000Medicare.gov
    $30.70a month

Horizon Blue Cross Blue Shield of New Jersey · Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

1 plan lists Shefali.

1plan
  • Horizon NJ TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1912 State Route 35, Ste 201, Oakhurst, NJ, 07755
    • 142 Highway 35, Eatontown, NJ, 07724
    • 300 2nd Ave, Long Branch, NJ, 07740
    • 1945 State Route 33, Neptune, NJ, 07753
    • 1270 State Route 35, Middletown, NJ, 07748
    • 195 US Highway 9, Ste 106, Englishtown, NJ, 07726
    • 98 James St, Ste 200, Edison, NJ, 08820

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH8298-001-000Medicare.gov
    $36.30a month

14 more Horizon Blue Cross Blue Shield of New Jersey plans haven't been checked yet.

Geisinger Gold

Not checked yet.

HealthSpring

Not checked yet.

Highmark Wholecare Medicare Assured

Not checked yet.

Jefferson Health Plans

Not checked yet.

Perennial Advantage

Not checked yet.

UPMC for Life

Not checked yet.

UPMC for Life Complete Care

Not checked yet.

VISTA Health Plan Inc.

Not checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Shefali takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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2 practice locations

1912 State Route 35 Ste 201
Oakhurst, NJ 07755

NPI Registry

245 N 15th St, 6th Floor
Philadelphia, PA 19102

NPI Registry
NPI issued
2015
Registry record updated
Mar 6, 2025

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Shefali Shah?

In Monmouth County, NJ and Philadelphia County, PA, 41 Medicare Advantage plans for 2027 list Shefali in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Giveback (HMO), Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Prime (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Shefali Shah practice?

2 locations, including 1912 State Route 35 Ste 201, Oakhurst, NJ. All of them are listed on this page.

How do I confirm Shefali is in my plan's network?

Call the member services number on your plan card and give them the NPI 1720469950, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Shefali's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Monmouth County, NJ and Philadelphia County, PA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2025-03-06). Plan networks: carrier provider directories and Medicare.gov provider data, checked Nov 1, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Shefali Shah or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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