PAYAL SHAH
NPI 1679994693
Nurse Practitioner - Acute Care in Atlanta, GA
About Payal Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAYAL SHAH (NPI 1679994693) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN181347) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Payal Shah 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Emory Decatur Hospital
Acute Care Hospitals · Decatur, GAGrady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30303
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 Payal Shah's NPI number?
The NPI number for Payal Shah is 1679994693. It was assigned to this individual provider in the NPPES registry on December 17, 2013.
Where is Payal Shah located?
Payal Shah practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 966-4713.
What is Payal Shah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Payal Shah enrolled in Medicare?
Yes. Payal 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 Payal Shah accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Payal 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 Payal Shah affiliated with any hospitals?
According to CMS data, Payal Shah is affiliated with Emory Decatur Hospital and Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Payal Shah was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
