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SHEETAL GAMBHIR
NPI 1801380175
Internal Medicine - Geriatric Medicine in East Point, GA

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
2084 HEADLAND DR, EAST POINT, GA 30344(404) 965-5691(404) 698-1478 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2026, Jan 31, 2023, Jun 19, 2018 (3 updates tracked since 2018).

About Sheetal Gambhir NPPES

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

SHEETAL GAMBHIR (NPI 1801380175) is an individual geriatric medicine provider in East Point, Georgia, licensed in Georgia (93928) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801380175
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameSHEETAL GAMBHIR
Location Address2084 HEADLAND DREast Point, GA 30344-2135
Mailing Address2084 Headland DrEast Point, GA 30344-2135 · (404) 965-5691 · Fax (404) 698-1478
Phone(404) 965-5691
Fax(404) 698-1478
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2018
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1801380175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in GA · 93928
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License 93928 (GA)
2084 HEADLAND DR, East Point, GA 30344
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheetal Gambhir 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 ID9830446475
PECOS Enrollment IDI20230131001351
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.

Medicare Billing Reassignment

Medicare enrollment records show Sheetal Gambhir reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmr Georgia Holding, LLC
592 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
NPI 1609329630 (305) 831-4760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30344 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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 14

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

AUSTIN CAMPBELL GITOMER MD
Internal Medicine
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (404) 965-5691
ENOCH KOTEI M.D.
Internal Medicine
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (404) 965-5691
PRAHARSHA RAVINDRANATHA MENON MD
Family Medicine
2084 HEADLAND DR, JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC
EAST POINT, GA 30344
Fulton County (404) 965-5691
JASON HOLLIGAN MD
Internal Medicine
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (404) 965-5691
JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT
Specialist
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (305) 628-6117
RABIA ZIA
Family Medicine
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (404) 965-5691
DR. TONY GAYLE DPM
Podiatrist
2084 HEADLAND DR, JENCARE NEIGHBORHOOD MEDICAL CENTER EAST POINT, LLC
EAST POINT, GA 30344
Fulton County (404) 965-5691
DR. HILARY ELIZABETH DOWDALL MB BCH BAO
Family Medicine
2084 HEADLAND DR
EAST POINT, GA 30344
Fulton County (404) 965-5691

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 Sheetal Gambhir's NPI number?

The NPI number for Sheetal Gambhir is 1801380175. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Sheetal Gambhir located?

Sheetal Gambhir practices at 2084 Headland Dr, East Point, GA 30344. The listed phone number is (404) 965-5691.

What is Sheetal Gambhir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Sheetal Gambhir enrolled in Medicare?

Yes. Sheetal Gambhir 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.

Which organization bills Medicare for Sheetal Gambhir's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheetal Gambhir reassigns Medicare benefits to Pmr Georgia Holding, LLC (Miami Gardens, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheetal Gambhir's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sheetal Gambhir was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.