1. Home
  2. Directory
  3. Georgia
  4. Lawrenceville
  5. Internal Medicine
  6. NPI Profile

DR. INDRA C SHAH
NPI 1639202120
Internal Medicine in Lawrenceville, GA

Active since March 13, 2007PECOS Enrolled
601 OLD NORCROSS RD STE A, LAWRENCEVILLE, GA 30046(770) 963-2474(770) 963-2476 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Indra C Shah NPPES

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

DR. INDRA C SHAH (NPI 1639202120) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (023224) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639202120
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. INDRA C SHAH
Location Address601 OLD NORCROSS RD STE ALawrenceville, GA 30046-4311
Mailing Address601 Old Norcross Rd Ste ALawrenceville, GA 30046-4311 · (770) 963-2474 · Fax (770) 963-2476
Phone(770) 963-2474
Fax(770) 963-2476
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1639202120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 023224
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
601 OLD NORCROSS RD STE A, Lawrenceville, GA 30046
Open in Google Maps ↗

Other Names 1

Other Name (5)Indravadan C Shah Md

Other Identifiers 2

Medicare UPINC2315GA
Other23224GA · Md License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Indra C Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Indra Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northside Primary Care Professional Services,llc
20 mi
Family Medicine
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 466 clinicians in this Medicare group
NPI 1922397553 (855) 709-4535

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

Other Providers at the Same Location NPPES 2

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

MICHELLE MARIE LEIVA PA-C
Physician Assistant (Medical)
601 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 284-3150
DR. SAMUEL KIM M.D.
Internal Medicine (Rheumatology)
601 OLD NORCROSS RD STE A
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 284-3150

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 Indra Shah's NPI number?

The NPI number for Indra Shah is 1639202120. It was assigned to this individual provider in the NPPES registry on March 13, 2007. The provider is also known as Indravadan C Shah MD.

Where is Indra Shah located?

Indra Shah practices at 601 Old Norcross Rd Ste A, Lawrenceville, GA 30046. The listed phone number is (770) 963-2474.

What is Indra Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Indra Shah enrolled in Medicare?

Yes. Indra Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Indra Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Indra Shah reassigns Medicare benefits to Northside Primary Care Professional Services,llc (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 Indra Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Indra Shah was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.