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DR. SHASHVAT SUKHAL M.D.
NPI 1275821878
Internal Medicine - Pulmonary Disease in Dacula, GA

Active since July 16, 2011PECOS EnrolledAccepts Medicare Assignment
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019(770) 586-0300 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, May 15, 2025, Jul 3, 2024 and 3 more (6 updates tracked since 2020).

About Dr. Shashvat Sukhal M.d. NPPES

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

DR. SHASHVAT SUKHAL M.D. (NPI 1275821878) is an individual pulmonary disease provider in Dacula, Georgia, licensed in Georgia (99179) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1275821878
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHASHVAT SUKHALCredential: M.D.
Location Address2075 HAMILTON CREEK PKWY STE 200Dacula, GA 30019-7285
Mailing Address2075 Hamilton Creek Pkwy Ste 200Dacula, GA 30019-7285 · (770) 586-0300
Phone(770) 586-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 16, 2011
Last NPPES UpdateJune 27, 20256 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1275821878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in GA · 99179✔ Licensed in IL · 036-134513
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125059106 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036-134513 (IL), 99179 (GA)
2075 HAMILTON CREEK PKWY STE 200, Dacula, GA 30019
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11120 15th StAugusta, GA 30912-2942 · Phone (706) 721-8623
Location 21601 Butterfield TrlKankakee, IL 60901-2959 · Phone (815) 936-6500 · Fax (815) 936-6502
Location 35775 E State Route 113Coal City, IL 60416-7111 · Phone (815) 634-0100 · Fax (815) 634-2900
Location 4500 N Wall St Ste C400Kankakee, IL 60901-2942 · Phone (815) 933-3814 · Fax (815) 933-3846

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shashvat Sukhal 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 ID3577869510
PECOS Enrollment IDI20240626003179
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 Shashvat Sukhal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary And Sleep Specialists Of Piedmont Northeast
Same address
Pulmonary Disease
2075 HAMILTON CREEK PKWY STE 200
Dacula, GA 30019
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1922844570 (770) 586-0300
Pulmonary And Sleep Specialists Of Northeast Georgia, PC
13 mi
Pulmonary Disease
30 SATELLITE DR, SUITE 200
Winder, GA 30680
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1194048561 (770) 586-0300
Northeast Georgia Physicians Group Inc
17 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Au Medical Associates Inc
118 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Riverside Health System
532 mi
General Practice
1905 W COURT ST
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 clinicians in this Medicare group
NPI 1417061193 (815) 935-7526

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 11

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.
80 services69 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.
40 services28 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.
39 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30019 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.

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers40 claims40 services$38.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers29 claims29 services$94.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers35 claims71 services$35.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers28 claims114 services$18.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers27 claims27 services$56.53 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers43 claims43 services$19.28 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 8

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

JAMI JEFFERSON F.N.P.-C
Nurse Practitioner (Family)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
VARIN SACHHATHEP PA-C
Physician Assistant (Medical)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
SLEEP TELEHEALTH
Internal Medicine (Sleep Medicine)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 307-8288
DR. RAMI BADR ARFOOSH M.D.
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
DR. RACHEL ELIZABETH NISBET M.D.
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
SVETLANA FREY PA-C
Physician Assistant (Medical)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
PULMONARY AND SLEEP SPECIALISTS OF PIEDMONT NORTHEAST
Internal Medicine (Pulmonary Disease)
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300
SAMIHA AHSAN PA
Physician Assistant
2075 HAMILTON CREEK PKWY STE 200
DACULA, GA 30019
Gwinnett County (770) 586-0300

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 Shashvat Sukhal's NPI number?

The NPI number for Shashvat Sukhal is 1275821878. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Shashvat Sukhal located?

Shashvat Sukhal practices at 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019. The listed phone number is (770) 586-0300.

What is Shashvat Sukhal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shashvat Sukhal enrolled in Medicare?

Yes. Shashvat Sukhal 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 Shashvat Sukhal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shashvat Sukhal reassigns Medicare benefits to 5 organizations: Pulmonary And Sleep Specialists Of Piedmont Northeast (Dacula, GA), Pulmonary And Sleep Specialists Of Northeast Georgia, PC (Winder, GA), Northeast Georgia Physicians Group Inc (Gainesville, GA), Au Medical Associates Inc (Augusta, GA) and Riverside Health System (Kankakee, IL). 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 Shashvat Sukhal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shashvat Sukhal accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Shashvat Sukhal 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 Shashvat Sukhal affiliated with any hospitals?

According to CMS data, Shashvat Sukhal is affiliated with Northeast Georgia Medical Center, Inc, Ngmc Barrow, LLC, Piedmont Walton Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Shashvat Sukhal was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.