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DR. SHYAM L KHANWANI MD
NPI 1184602856
Internal Medicine - Hematology & Oncology in Fayetteville, GA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
132 OLD NORTON RD STE 200, FAYETTEVILLE, GA 30215(678) 817-1117(678) 817-0823 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2020, Apr 7, 2020 (2 updates tracked since 2020).

About Dr. Shyam L Khanwani Md NPPES

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

DR. SHYAM L KHANWANI MD (NPI 1184602856) is an individual hematology & oncology provider in Fayetteville, Georgia, licensed in Georgia (051672) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1184602856
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SHYAM L KHANWANICredential: MD
Location Address132 OLD NORTON RD STE 200Fayetteville, GA 30215-4873
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (678) 817-1117 · Fax (678) 817-0823
Phone(678) 817-1117
Fax(678) 817-0823
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 1, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1184602856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 051672
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

132 OLD NORTON RD STE 200, Fayetteville, GA 30215
Open in Google Maps ↗

Other Identifiers 1

Medicaid000961925BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Dr. Shyam L Khanwani Md 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 ID3678586401
PECOS Enrollment IDI20080226000492
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
318 services190 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
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.
24 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 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30215 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers32 claims2,646 services$0.70 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers21 claims21 services$18.04 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers20 claims20 services$12.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MS. KIM PHUONG THI NGUYEN PHARMD
Pharmacist (Oncology)
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Fayette County (678) 817-1117
MRS. DONNA ELIZABETH HENDLEY PA-C
Physician Assistant
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Fayette County (678) 817-1117
MS. PAIGE B. KENWAY AGPCNP-BC
Nurse Practitioner
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Fayette County (678) 817-1117
MARYSA P WALLACE AGNP-C
Nurse Practitioner
132 OLD NORTON RD STE 200
FAYETTEVILLE, GA 30215
Fayette County (678) 817-1117

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 Shyam Khanwani's NPI number?

The NPI number for Shyam Khanwani is 1184602856. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Shyam Khanwani located?

Shyam Khanwani practices at 132 Old Norton Rd Ste 200, Fayetteville, GA 30215. The listed phone number is (678) 817-1117.

What is Shyam Khanwani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shyam Khanwani enrolled in Medicare?

Yes. Shyam Khanwani 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 Shyam Khanwani accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shyam Khanwani 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 Shyam Khanwani affiliated with any hospitals?

According to CMS data, Shyam Khanwani is affiliated with Northside Hospital, Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shyam Khanwani was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.