DR. KIRTI K SHAH MD
NPI 1700881612
Internal Medicine - Nephrology in Lawrenceville, GA

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
91.14/100
CMS Quality Rating
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045(770) 962-1231(770) 513-2107 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Kirti K Shah Md NPPES

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

DR. KIRTI K SHAH MD (NPI 1700881612) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Georgia (027248) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1700881612
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KIRTI K SHAHCredential: MD
Location Address605 OLD NORCROSS RDLawrenceville, GA 30045-4315
Mailing Address605 Old Norcross RdLawrenceville, GA 30045-4315 · (770) 962-1231 · Fax (770) 513-2107
Fax(770) 513-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 16, 2005
Last NPPES UpdateOctober 25, 2007
NPI 1700881612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 027248
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
605 OLD NORCROSS RD, Lawrenceville, GA 30045

Other Identifiers 4

Medicare UPINC09695GA
Medicaid00303069HGA
Other390002084Railroad Medicare
Medicaid00303069CGA

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

Dr. Kirti K 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 ID5799680815
PECOS Enrollment IDI20111207000501
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 34

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,689 services145 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.
1,397 services711 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,029 services153 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
963 services109 patients
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
792 services11 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
785 services125 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30045 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.

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.

91.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.46
Promoting Interoperability97
Improvement Activities40
Cost58.86

Reported Quality Measures

Controlling High Blood Pressure
64%230 patients3/55-star benchmark: 91%
e-Prescribing
98%960 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
87%330 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
89%430 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%723 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
88%170 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%217 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 338 patients
Patients totalRate: 1% · 338 patients
0%338 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Nephrology)
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Specialist
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Dietitian, Registered
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Nurse Practitioner (Family)
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Internal Medicine (Nephrology)
605 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045

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 Kirti Shah's NPI number?

The NPI number for Kirti Shah is 1700881612. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Kirti Shah located?

Kirti Shah practices at 605 Old Norcross Rd, Lawrenceville, GA 30045. The listed phone number is (770) 962-1231.

What is Kirti Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kirti Shah enrolled in Medicare?

Yes. Kirti 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 Kirti Shah accept?

Health plans from Alliant Health Plans, Inc. list Kirti 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 Kirti Shah affiliated with any hospitals?

According to CMS data, Kirti Shah is affiliated with Piedmont Walton Hospital, Emory University Hospital Midtown, Northside Hospital Gwinnett, Piedmont Eastside Medical Center and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Kirti Shah was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.