ADVANCED UROLOGY ANESTHESIA, LLC
NPI 1215365242
Specialist in Snellville, GA

Q: What is Advanced Urology Anesthesia, LLC's NPI number?

The NPI number for Advanced Urology Anesthesia, LLC is 1215365242. It was assigned to this organization in the NPPES registry on October 30, 2013.

Q: What is Advanced Urology Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 30, 2013

1557 JANMAR RD., SNELLVILLE, GA 30078(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Dec 19, 2024, May 11, 2023 and 2 more (5 updates tracked since 2020).

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About Advanced Urology Anesthesia, Llc NPPES

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

ADVANCED UROLOGY ANESTHESIA, LLC (NPI 1215365242) is a healthcare organization registered as a specialist in Snellville, Georgia and active in the NPI registry since October 2013. The organization lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215365242

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameADVANCED UROLOGY ANESTHESIA, LLC

Location Address1557 JANMAR RD.Snellville, GA 30078

Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201

Phone(678) 344-8900

Fax(678) 666-5201

Organization SubpartNo

Authorized OfficialBeemal ShahCeo · (706) 951-8657

Enumeration DateOctober 30, 2013

Last NPPES UpdateJanuary 7, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1215365242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1557 JANMAR RD., Snellville, GA 30078

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Urology Anesthesia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateGeorgiaEnrollment IDO20140225000485Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 75 clinicians reassign Medicare billing to Advanced Urology Anesthesia, LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.