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SEYED ARSHIA ARSHAD M.D.
NPI 1861856940
Surgery in Atlanta, GA

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1365 CLIFTON ROAD, BLDG A 4TH FLR, ATLANTA, GA 30322(404) 778-3712 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Jul 11, 2024, Jul 19, 2023 and 3 more (6 updates tracked since 2019).

About Seyed Arshia Arshad M.d. NPPES

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

SEYED ARSHIA ARSHAD M.D. (NPI 1861856940) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (100244) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861856940
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSEYED ARSHIA ARSHADCredential: M.D.
Location Address1365 CLIFTON ROAD, BLDG A 4TH FLRAtlanta, GA 30322
Mailing Address1365 Clifton Road, Bldg A 4th FlrAtlanta, GA 30322 · (404) 778-3712 · Fax (404) 778-5033
Phone(404) 778-3712
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 5, 2016
Last NPPES UpdateAugust 5, 20246 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1861856940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 100244✔ Licensed in WI · 81742-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1365 CLIFTON ROAD, Atlanta, GA 30322
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Other Identifiers 1

Medicaid1861856940WI

Accepted Insurance

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

Seyed Arshia Arshad M.d. 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 ID2668765868
PECOS Enrollment IDI20240829001750
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-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.
29 services12 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

PAIGE EMILY BLACK MMSC
Genetic Counselor, MS
1365 CLIFTON ROAD, CLINIC B, SUITE 2200
ATLANTA, GA 30322
Dekalb County (404) 778-8570
KIM STURDIVANT HARRIS NP
Nurse Practitioner (Family)
1365 CLIFTON ROAD, SUITE A2112
ATLANTA, GA 30322
Dekalb County (404) 778-2011
DR. SHINBAN LIU D.O.
Surgery
1365 CLIFTON ROAD, BUILDING A, 4TH FLOOR
ATLANTA, GA 30322
Dekalb County (404) 778-3712
MRS. EUNICE JEON GOETZ PA-C
Physician Assistant (Surgical)
1365 CLIFTON ROAD, SUITE B1400
ATLANTA, GA 30322
Dekalb County (404) 778-4898
SUSMITA PARASHAR MD
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON ROAD, EMORY UNIVERSITY
ATLANTA, GA 30322
Dekalb County (404) 778-4931
AKANKSHA MEHTA
Urology
1365 CLIFTON ROAD, BUILDING B SUITE 1400
ATLANTA, GA 30322
Dekalb County (404) 778-4898

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 Seyed Arshad's NPI number?

The NPI number for Seyed Arshad is 1861856940. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Seyed Arshad located?

Seyed Arshad practices at 1365 Clifton Road Bldg A 4th Flr, Atlanta, GA 30322. The listed phone number is (404) 778-3712.

What is Seyed Arshad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Seyed Arshad enrolled in Medicare?

Yes. Seyed Arshad 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 Seyed Arshad accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Seyed Arshad 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 Seyed Arshad affiliated with any hospitals?

According to CMS data, Seyed Arshad is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Seyed Arshad was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.