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

Q: 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.

Q: What is Shuvro De's specialty?

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

Q: 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.

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: August 02, 2026.

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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 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

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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

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.

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Other Providers at the Same Location NPPES 19

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

STEPHANIE OTTIMO NP

Nurse Practitioner (Family)