NIKHIL S SHAH M.D.
NPI 1104810027
Internal Medicine - Gastroenterology in Marietta, GA

Q: What is Nikhil Shah's NPI number?

The NPI number for Nikhil Shah is 1104810027. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Nikhil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nikhil Shah was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment

780 CANTON RD NE STE 328, MARIETTA, GA 30060(943) 610-0145 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2024, May 17, 2024 (2 updates tracked since 2024).

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About Nikhil S Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKHIL S SHAH M.D. (NPI 1104810027) is an individual gastroenterology provider in Marietta, Georgia, licensed in Georgia (100040) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains a secondary practice location in Ooltewah.

NPPES Registry Identity

NPI1104810027

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNIKHIL S SHAHCredential: M.D.

Location Address780 CANTON RD NE STE 328Marietta, GA 30060-7289

Mailing Address2106 Ooltewah Ringgold RdOoltewah, TN 37363-9345 · (423) 760-4360 · Fax (423) 760-4367

Phone(943) 610-0145

Sole ProprietorYes

Medical School CMSOtherGraduated 1980

Enumeration DateSeptember 7, 2005

Last NPPES UpdateApril 17, 20252 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1104810027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in GA · 100040✔ Licensed in TN · 36425

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

780 CANTON RD NE STE 328, Marietta, GA 30060

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Secondary Practice Location 1

Location 12106 Ooltewah Ringgold RdOoltewah, TN 37363-9345 · Phone (423) 760-4360 · Fax (423) 760-4367

Other Identifiers 1

Medicaid3875889TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikhil S Shah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688574304

PECOS Enrollment IDI20230922001537, I20241025000012, I20250131002619

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110143

Location3950 Austell RdAustell, GA 30106 · Cobb County

Birthing friendly

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AHMED ALY MESSALLAM M.D

Internal Medicine (Gastroenterology)

780 CANTON RD NE STE 328
MARIETTA, GA 30060

Cobb County (470) 267-1760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikhil Shah's NPI number?

The NPI number for Nikhil Shah is 1104810027. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Nikhil Shah located?

Nikhil Shah practices at 780 Canton Rd NE Ste 328, Marietta, GA 30060. The listed phone number is (943) 610-0145.

What is Nikhil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nikhil Shah enrolled in Medicare?

Yes. Nikhil Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nikhil Shah accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Nikhil Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nikhil Shah affiliated with any hospitals?

According to CMS data, Nikhil Shah is affiliated with Emory Decatur Hospital, Wellstar Cobb Medical Center and Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Nikhil Shah was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.