1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Urology
  6. NPI Profile

SHUVRO DE MD
NPI 1508125865
Urology - Pediatric Urology in Atlanta, GA

Active since May 08, 2012PECOS EnrolledAccepts Medicare Assignment
5730 GLENRIDGE DR STE 200, ATLANTA, GA 30328(404) 252-5206 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shuvro De Md NPPES

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

SHUVRO DE MD (NPI 1508125865) is an individual pediatric urology provider in Atlanta, Georgia, licensed in Georgia (82744) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Children's Healthcare Of Atlanta At Egleston, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2012).

NPPES Registry Identity

NPI1508125865
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameSHUVRO DECredential: MD
Location Address5730 GLENRIDGE DR STE 200Atlanta, GA 30328-5579
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4686
Phone(404) 252-5206
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2012
Enumeration DateMay 8, 2012
Last NPPES UpdateMay 16, 2019
✔ NPI 1508125865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in GA · 82744
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
5730 GLENRIDGE DR STE 200, Atlanta, GA 30328
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shuvro De 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 ID2961735733
PECOS Enrollment IDI20190610002738
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 Reassignment

Medicare enrollment records show Shuvro De reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Georgia Urology PA
7.4 mi
Urology
35 COLLIER RD NW, SUITE M-245
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1770821001 (678) 205-8211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

OwnershipVoluntary non-profit - Private
CMS Certification Number113300
Location1405 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Other Providers at the Same Location NPPES 17

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

STEPHANIE OTTIMO NP
Nurse Practitioner (Family)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 252-5206
BRITTNEY GUILFO
Nurse Practitioner (Family)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 256-1844
PAIGE ZAGRANSKI
Nurse Practitioner (Pediatrics)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 252-5206
MOLLY WILBER AGACNP
Nurse Practitioner
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 256-1844
BENIAM TEFERA ABEBE PA-C
Physician Assistant (Surgical)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 252-5206
KRISTI LYNN HEBERT M.D.
Urology
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 256-1844
KATIE L HILLMAN CPNP
Nurse Practitioner (Pediatrics)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 252-5206
SHANNON SUAREZ APRN
Nurse Practitioner (Pediatrics)
5730 GLENRIDGE DR STE 200
ATLANTA, GA 30328
Fulton County (404) 252-5206

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 Shuvro De's NPI number?

The NPI number for Shuvro De is 1508125865. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Shuvro De located?

Shuvro De practices at 5730 Glenridge Dr Ste 200, Atlanta, GA 30328. The listed phone number is (404) 252-5206.

What is Shuvro De's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Shuvro De enrolled in Medicare?

Yes. Shuvro De 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 Shuvro De's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shuvro De reassigns Medicare benefits to Georgia Urology PA (Atlanta, 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 Shuvro De's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shuvro De accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shuvro De 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 Shuvro De affiliated with any hospitals?

According to CMS data, Shuvro De is affiliated with Children's Healthcare Of Atlanta At Egleston.

When was this NPI record last updated?

The NPPES record for Shuvro De was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.