DR. NIMESH NAVIN SHAH M.D.
NPI 1245551563
Surgery in Decatur, GA
About Dr. Nimesh Navin Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIMESH NAVIN SHAH M.D. (NPI 1245551563) is an individual surgery provider in Decatur, Georgia, licensed in Georgia (074098) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Nimesh Navin 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.
Medicare Billing Reassignment
Medicare enrollment records show Nimesh Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
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 Nimesh Shah's NPI number?
The NPI number for Nimesh Shah is 1245551563. It was assigned to this individual provider in the NPPES registry on June 21, 2010.
Where is Nimesh Shah located?
Nimesh Shah practices at 2675 N Decatur Rd Suite 609, Decatur, GA 30033. The listed phone number is (404) 501-9170.
What is Nimesh Shah's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Nimesh Shah enrolled in Medicare?
Yes. Nimesh 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 organization bills Medicare for Nimesh Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nimesh Shah reassigns Medicare benefits to Emory Specialty Associates, LLC (Lagrange, GA). The 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 Nimesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nimesh Shah accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Nimesh 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 Nimesh Shah affiliated with any hospitals?
According to CMS data, Nimesh Shah is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Nimesh Shah was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Dr. Nimesh Navin Shah, M.D. · NPI 1245551563
Surgery physician in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since June 21, 2010.
## Identity
- **NPI:** 1245551563 (Entity type: Individual)
- **Enumerated:** June 21, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 074098 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2675 N DECATUR RD, SUITE 609, Decatur, GA 30033-6131
- **Phone:** (404) 501-9170 · **Fax:** (404) 974-2699
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2010
## Record status
- **NPPES last updated:** July 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1245551563) · Data from the CMS NPPES public registry.