TIRTH J SHAH MD
NPI 1407417363
Ophthalmology in Athens, GA

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
1620 PRINCE AVE, ATHENS, GA 30606(706) 546-0170(706) 546-5015 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2024, Jul 18, 2023, Jun 21, 2019 (3 updates tracked since 2019).

About Tirth J Shah Md NPPES

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

TIRTH J SHAH MD (NPI 1407417363) is an individual ophthalmology provider in Athens, Georgia, licensed in Georgia (96206) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of University Of Arizona College Of Medicine - Phoenix (2019).

NPPES Registry Identity

NPI1407417363
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTIRTH J SHAHCredential: MD
Location Address1620 PRINCE AVEAthens, GA 30606-6008
Mailing Address1620 Prince AveAthens, GA 30606-6008 · (706) 546-0170 · Fax (706) 546-5015
Fax(706) 546-5015
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of Medicine - PhoenixGraduated 2019
Enumeration DateJune 21, 2019
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1407417363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in GA · 96206 Licensed in IA · R-11668
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedInternal MedicineTaxonomy 207R00000X · License R-11668 (IA)
1620 PRINCE AVE, Athens, GA 30606

Accepted 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

Tirth J Shah 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 ID840651642
PECOS Enrollment IDI20230726001939
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 14

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
229 services194 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
167 services78 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
142 services112 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
125 services125 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
125 services96 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
90 services54 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Ambulatory Surgical)
1620 PRINCE AVE, SUITE B
ATHENS, GA 30606
Pharmacist
1620 PRINCE AVE
ATHENS, GA 30606
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Optometrist
1620 PRINCE AVE
ATHENS, GA 30606
Pain Medicine (Interventional Pain Medicine)
1620 PRINCE AVE
ATHENS, GA 30606
Optometrist
1620 PRINCE AVE
ATHENS, GA 30606
Ophthalmology
1620 PRINCE AVE
ATHENS, GA 30606
Clinic/Center (Multi-Specialty)
1620 PRINCE AVE
ATHENS, GA 30606

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 Tirth Shah's NPI number?

The NPI number for Tirth Shah is 1407417363. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Where is Tirth Shah located?

Tirth Shah practices at 1620 Prince Ave, Athens, GA 30606. The listed phone number is (706) 546-0170.

What is Tirth Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tirth Shah enrolled in Medicare?

Yes. Tirth 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 Tirth Shah accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Superior HealthPlan and Ambetter of Alabama and 6 other insurers list Tirth 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 Tirth Shah affiliated with any hospitals?

According to CMS data, Tirth Shah is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tirth Shah was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.