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SHISHIR GUPTA MD
NPI 1912584715
Internal Medicine in Kennesaw, GA

Active since March 26, 2021PECOS Enrolled
6110 PINE MOUNTAIN RD NW STE 201, KENNESAW, GA 30152(404) 589-3366(877) 682-6790 Get Directions Write a Review

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

Record update history: May 19, 2026, Mar 26, 2021 (2 updates tracked since 2021).

About Shishir Gupta Md NPPES

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

SHISHIR GUPTA MD (NPI 1912584715) is an individual internal medicine provider in Kennesaw, Georgia, licensed in Georgia (99378) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912584715
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHISHIR GUPTACredential: MD
Location Address6110 PINE MOUNTAIN RD NW STE 201Kennesaw, GA 30152-3357
Mailing Address6110 Pine Mountain Rd Nw Ste 201Kennesaw, GA 30152-3357 · (404) 589-3366 · Fax (877) 682-6790
Phone(404) 589-3366
Fax(877) 682-6790
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1912584715 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 · 99378
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.
6110 PINE MOUNTAIN RD NW STE 201, Kennesaw, GA 30152
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shishir Gupta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30152 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 4

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

PEACHTREE HEALTH GROUP LLC
General Practice
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (229) 563-3738
DUE WEST INFUSION
Registered Nurse (Infusion Therapy)
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (770) 429-5555
ATLANTA PSYCHIATRIC AND THERAPY CENTER LLC
Psychiatry & Neurology (Psychiatry)
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (111) 111-1111
RICKEY PATEL MD
Family Medicine
6110 PINE MOUNTAIN RD NW STE 201
KENNESAW, GA 30152
Cobb County (404) 589-3366

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 Shishir Gupta's NPI number?

The NPI number for Shishir Gupta is 1912584715. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Shishir Gupta located?

Shishir Gupta practices at 6110 Pine Mountain Rd NW Ste 201, Kennesaw, GA 30152. The listed phone number is (404) 589-3366.

What is Shishir Gupta's specialty?

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

Is Shishir Gupta enrolled in Medicare?

Yes. Shishir Gupta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shishir Gupta was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.