Provider profile

Pradip ShahMD

Internal Medicine, Geriatric Medicine

NPI 1326059320
459 Passaic Ave, Crane's Mill - Oak Health Center, West Caldwell, NJ 07006973-276-3026

Check your plan

Medicare Advantage plans for Essex County, NJ.

Checked Oct 14, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 12 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Pradip on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 45 Medicare Advantage plans we show for Essex County, NJ in 2027

  • 12 list Pradip
  • 32 not listed
  • 1 not checked yet

Aetna Medicare

6 plans list Pradip; not listed on 1 other plan.

6plans
  • Aetna Medicare Eagle Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

    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:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

    HMODrug coverage4 starsH3152-098-000Medicare.gov
    $25a month
  • Aetna Medicare Enhanced Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

    PPODrug coverage4 starsH5521-037-000Medicare.gov
    $99a month

Clover Health

6 plans list Pradip.

6plans
  • Clover Health Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

    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:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

    HMODrug coverage4.5 starsH8010-002-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 459 Passaic Ave, West Caldwell, NJ, 07006

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

    PPONo drug coverage5 starsH5141-061-000Medicare.gov
    $0a month

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Horizon Blue Cross Blue Shield of New Jersey

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Horizon Blue Cross Blue Shield of New Jersey plan hasn't been checked yet.

Humana

Not listed on its 7 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Wellpoint

Not listed on its 3 plans here. That isn't proof they're out of network.

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 Pradip 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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Practice location

459 Passaic Ave, Crane's Mill - Oak Health Center
West Caldwell, NJ 07006

NPI Registry
NPI issued
2006
Registry record updated
Jul 8, 2007

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

Common questions

Which 2027 Medicare Advantage plans list Pradip Shah?

In Essex County, NJ, 12 Medicare Advantage plans for 2027 list Pradip in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Giveback (HMO), Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Elite (HMO). 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.

Does Pradip Shah take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Pradip on 6 Medicare Advantage plans for 2027 in Essex County, NJ, including Aetna Medicare Eagle Giveback (HMO) and Aetna Medicare Eagle Giveback (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Pradip Shah take Clover Health Medicare Advantage plans?

Medicare.gov provider data lists Pradip on 6 Medicare Advantage plans for 2027 in Essex County, NJ, including Clover Health Choice (PPO) and Clover Health Choice Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Clover Health before you enroll.

Does Pradip Shah take Devoted Medicare Advantage plans?

Devoted's own provider directory doesn't list Pradip on any of its 6 plans for 2027 in Essex County, NJ. Directories can lag, and a clinician can be in network at another office, so that isn't proof Pradip is out of network. Ask the office or a Silverpath advisor to confirm.

Where does Pradip Shah practice?

459 Passaic Ave, Crane's Mill - Oak Health Center, West Caldwell, NJ 07006.

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

Call the member services number on your plan card and give them the NPI 1326059320, 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 Pradip's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Pradip Shah on 30 plans from Devoted, Humana, UnitedHealthcare, Wellcare and Wellpoint in Essex County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

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 2007-07-08). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 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 Pradip 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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