1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Internal Medicine
  6. NPI Profile

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

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: November 01, 2026.

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

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 Jackson-madison County General 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
Open in Google Maps ↗

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., Cigna Healthcare, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nikhil Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Neurology
780 CANTON RD NE, SUITE 400
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1811380025 (770) 422-3602
The Emory Clinic Inc
18 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Vincentian Physician Services LLC
133 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346
Health Care Authority For Baptist Health, An Affiliate Of Uabhs
145 mi
Internal Medicine
301 BROWN SPRINGS RD
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1033534524 (334) 273-4159
South Central Clinics, Inc
301 mi
Family Medicine
109 N. FRONT ST
Sandersville, MS 39477
  • Reassigned Medicare billing, Mississippi enrollment
  • 205 clinicians in this Medicare group
NPI 1972888659 (601) 426-7603

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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

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.

Which organizations bill Medicare for Nikhil Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Shah reassigns Medicare benefits to 5 organizations: Wellstar Medical Group, LLC (Marietta, GA), The Emory Clinic Inc (Atlanta, GA), Vincentian Physician Services LLC (Birmingham, AL), Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL) and South Central Clinics, Inc (Sandersville, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikhil Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Shah accept?

Health plans from Alliant Health Plans, Inc., Cigna Healthcare and Oscar Health 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 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 18 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.