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DHAVAL SHRIKANT SHAH MD
NPI 1699724419
Internal Medicine in Cumming, GA

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
2320 ATLANTA HWY, STE 105, CUMMING, GA 30040(770) 203-1000(770) 886-9908 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dhaval Shrikant Shah Md NPPES

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

DHAVAL SHRIKANT SHAH MD (NPI 1699724419) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (52826) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1699724419
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDHAVAL SHRIKANT SHAHCredential: MD
Location Address2320 ATLANTA HWY, STE 105Cumming, GA 30040-6339
Mailing Address2320 Atlanta Hwy, Ste 105Cumming, GA 30040-6339 · (770) 203-1000 · Fax (770) 886-9908
Phone(770) 203-1000
Fax(770) 886-9908
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 9, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1699724419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 52826
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.
Also ListedLegal MedicineTaxonomy 173000000X · License 52826 (GA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 52826 (GA)
2320 ATLANTA HWY, Cumming, GA 30040
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Other Identifiers 1

Medicare UPINI01329GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Dhaval Shrikant Shah 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 ID3072507664
PECOS Enrollment IDI20040414001540
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
236 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
34 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
33 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
25 services21 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims36 services$5.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

KRISHAN RAMAN BHIMA O.D.
Optometrist
2320 ATLANTA HWY, SUITE 103
CUMMING, GA 30040
Forsyth County (678) 965-5558
DR. SCOTT BAYLARD O.D.
Optometrist
2320 ATLANTA HWY, SUITE 103
CUMMING, GA 30040
Forsyth County (678) 965-5558
DR. KIMBERLEY ANNE LINERT OD
Optometrist (Vision Therapy)
2320 ATLANTA HWY
CUMMING, GA 30040
Forsyth County (678) 965-5558
MY DOCTORS CLINIC LLC
Family Medicine
2320 ATLANTA HWY, SUITE - 105
CUMMING, GA 30040
Forsyth County (678) 473-0715
DR. AMITA KETAN GHIA M.D
Family Medicine
2320 ATLANTA HWY, STE 105
CUMMING, GA 30040
Forsyth County (770) 203-1000

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 Dhaval Shah's NPI number?

The NPI number for Dhaval Shah is 1699724419. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Dhaval Shah located?

Dhaval Shah practices at 2320 Atlanta Hwy Ste 105, Cumming, GA 30040. The listed phone number is (770) 203-1000.

What is Dhaval Shah's specialty?

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

Is Dhaval Shah enrolled in Medicare?

Yes. Dhaval 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 Dhaval Shah accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Dhaval 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 Dhaval Shah affiliated with any hospitals?

According to CMS data, Dhaval Shah is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Dhaval Shah was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.