NIRVI SHAH
NPI 1730676602
Internal Medicine in Athens, GA
About Nirvi Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIRVI SHAH (NPI 1730676602) is an individual internal medicine provider in Athens, Georgia, licensed in Washington (MD61176395) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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.
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
Nirvi 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.
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Advance care planning, first 30 minutes
Critical care, first 30-74 minutes
Hospital discharge day management, more than 30 minutes
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
This service was performed 20 times for 17 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 22 times for 19 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 138 times for 137 patientsFollow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 126 times for 64 patientsFollow-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.
This service was performed 405 times for 163 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.02 for a new patient copayment and $23.71 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.1
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $31.02
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nirvi Shah is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| TACOMA GENERAL ALLENMORE HOSPITAL | 315 S MLK JR WAY TACOMA, WA 98405 | (253) 403-1000 | Acute Care Hospitals |
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
ATHENS, GA 30606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730676602, enumerated as an "individual" on April 17, 2018.
The provider is located at 1270 PRINCE AVE SUITE 201 ATHENS, GA 30606 and the phone number is (706) 475-7055.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
Nirvi Shah is affiliated with: TACOMA GENERAL ALLENMORE HOSPITAL.
