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DR. BHAVIK SHAH M.D.
NPI 1265774863
Urology in Stockbridge, GA

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
175 COUNTRY CLUB DR STE 300-E, STOCKBRIDGE, GA 30281(678) 941-4140(678) 941-4139 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Apr 26, 2024, May 24, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Bhavik Shah M.d. NPPES

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

DR. BHAVIK SHAH M.D. (NPI 1265774863) is an individual urology provider in Stockbridge, Georgia, licensed in Georgia (080996) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265774863
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. BHAVIK SHAHCredential: M.D.
Location Address175 COUNTRY CLUB DR STE 300-EStockbridge, GA 30281-9054
Mailing Address422 Fayetteville RdDecatur, GA 30030-4805 · (678) 941-4140 · Fax (678) 941-4139
Phone(678) 941-4140
Fax(678) 941-4139
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 21, 2013
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1265774863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 080996
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
175 COUNTRY CLUB DR STE 300-E, Stockbridge, GA 30281
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12711 Irvin WayDecatur, GA 30030-5405 · Phone (678) 344-8900 · Fax (678) 666-5201
Location 21450 S Johnson Ferry RdAtlanta, GA 30319-4324 · Phone (678) 344-8900
Location 3330 Hospital Dr Ste 315Macon, GA 31217-8042 · Phone (478) 742-5331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Bhavik 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 ID6800148719
PECOS Enrollment IDI20181003003420
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 8

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 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.
225 services175 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
134 services107 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
124 services98 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.
62 services62 patients
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.
43 services38 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
39 services37 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims1,680 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers15 claims3,240 services$1.58 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

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

360 UROLOGY
Urology
175 COUNTRY CLUB DR STE 300-E
STOCKBRIDGE, GA 30281
Henry County (678) 941-4140

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 Bhavik Shah's NPI number?

The NPI number for Bhavik Shah is 1265774863. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Bhavik Shah located?

Bhavik Shah practices at 175 Country Club Dr Ste 300-E, Stockbridge, GA 30281. The listed phone number is (678) 941-4140.

What is Bhavik Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Bhavik Shah enrolled in Medicare?

Yes. Bhavik 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 Bhavik Shah accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Bhavik 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 Bhavik Shah affiliated with any hospitals?

According to CMS data, Bhavik Shah is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Bhavik Shah was last updated on January 14, 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.