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SHAINUL K BHATIA M.D.
NPI 1609880160
Family Medicine - Adult Medicine in Decatur, GA

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
1045 SYCAMORE DR, DECATUR, GA 30030(404) 501-4270(404) 501-5797 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shainul K Bhatia M.d. NPPES

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

SHAINUL K BHATIA M.D. (NPI 1609880160) is an individual adult medicine provider in Decatur, Georgia, licensed in Georgia (027158) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1609880160
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSHAINUL K BHATIACredential: M.D.
Location Address1045 SYCAMORE DRDecatur, GA 30030-1645
Mailing Address1045 Sycamore DrDecatur, GA 30030-1645 · (404) 501-4270 · Fax (404) 501-5797
Phone(404) 501-4270
Fax(404) 501-5797
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609880160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in GA · 027158
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1045 SYCAMORE DR, Decatur, GA 30030
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Other Identifiers 1

Medicare UPIND44861

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida 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

Shainul K Bhatia 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 ID3577802909
PECOS Enrollment IDI20190302000108
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30030 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 10

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

AMERICAN CURRENT CARE P.A .
Clinic/Center (Urgent Care)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
OCCUPATIONAL HEALTH CENTERS OF GEORGIA, P.C.
Clinic/Center (Occupational Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
JULIE F MCGILL MD
Surgery
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 501-7081
SURGICAL ASSOCIATES, LLC
Surgery
1045 SYCAMORE DR, 2ND FLOOR
DECATUR, GA 30030
Dekalb County (404) 501-7081
FAMILY CARE CENTERS TRUST
Family Medicine (Adult Medicine)
1045 SYCAMORE DR, ADMINSTRATION
DECATUR, GA 30030
Dekalb County (404) 501-4272
FAMILY CARE CENTERS TRUST
Family Medicine (Adult Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 501-4272
DR. YONATAN ESHETU PT, DPT
Physical Therapist (Orthopedic)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961
VICTOR BOWDEN MD, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
1045 SYCAMORE DR
DECATUR, GA 30030
Dekalb County (404) 254-0961

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 Shainul Bhatia's NPI number?

The NPI number for Shainul Bhatia is 1609880160. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Shainul Bhatia located?

Shainul Bhatia practices at 1045 Sycamore Dr, Decatur, GA 30030. The listed phone number is (404) 501-4270.

What is Shainul Bhatia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Shainul Bhatia enrolled in Medicare?

Yes. Shainul Bhatia 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 Shainul Bhatia accept?

Health plans from Alliant Health Plans, Inc., Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list Shainul Bhatia 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.

When was this NPI record last updated?

The NPPES record for Shainul Bhatia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.