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NAMRATA DHIREN SHAH M.D.
NPI 1770788580
Internal Medicine in Cumming, GA

Active since June 20, 2007PECOS Enrolled
1100 NORTHSIDE FORSYTH DR, SUITE 200, CUMMING, GA 30041(770) 205-9723 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Namrata Dhiren Shah M.d. NPPES

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

NAMRATA DHIREN SHAH M.D. (NPI 1770788580) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (67162) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1770788580
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNAMRATA DHIREN SHAHCredential: M.D.
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 200Cumming, GA 30041-6012
Mailing Address12230 Broadleaf LnJohns Creek, GA 30005-8948 · (248) 299-1917
Phone(770) 205-9723
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 20, 2007
Last NPPES UpdateFebruary 19, 2013
✔ NPI 1770788580 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 · 67162
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.
1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041
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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 (PECOS)

Namrata Dhiren Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799844569
PECOS Enrollment IDI20130308000256
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 7

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.
114 services89 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.
90 services81 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.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services29 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.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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 20

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

CHAD A LEVITT MD PC
Specialist
1100 NORTHSIDE FORSYTH DR
CUMMING, GA 30041
Forsyth County (770) 292-7000
JENNA LYNN FREEMAN ATC, LAT
Specialist/Technologist (Athletic Trainer)
1100 NORTHSIDE FORSYTH DR, SUITE 440
CUMMING, GA 30041
Forsyth County (678) 341-6790
DR. JOHN P GORECKI MD
Neurological Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 310
CUMMING, GA 30041
Forsyth County (678) 730-7796
JASON DAVID GRABROVAC PA-C
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
DR. CHANCEY B. C. WASHBURN D.M.D.
Dentist
1100 NORTHSIDE FORSYTH DR, SUITE 420
CUMMING, GA 30041
Forsyth County (678) 455-4560
DR. MATHEW LEVINE D.O.
Orthopaedic Surgery
1100 NORTHSIDE FORSYTH DR, SUITE 340
CUMMING, GA 30041
Forsyth County (770) 886-8111
MRS. HEATHER PETERS CPNP
Registered Nurse (Pediatrics)
1100 NORTHSIDE FORSYTH DR, STE 360
CUMMING, GA 30041
Forsyth County (770) 888-8888
STEVEN P HORNE P.A.
Physician Assistant
1100 NORTHSIDE FORSYTH DR, SUITE 240
CUMMING, GA 30041
Forsyth County (678) 947-6440

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 Namrata Shah's NPI number?

The NPI number for Namrata Shah is 1770788580. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Namrata Shah located?

Namrata Shah practices at 1100 Northside Forsyth Dr Suite 200, Cumming, GA 30041. The listed phone number is (770) 205-9723.

What is Namrata Shah's specialty?

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

Is Namrata Shah enrolled in Medicare?

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

What insurance does Namrata 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 Namrata 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 Namrata Shah affiliated with any hospitals?

According to CMS data, Namrata Shah is affiliated with Northside Hospital Forsyth and Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Namrata Shah was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.