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DR. SHANA KOTHARI MD
NPI 1992232193
Internal Medicine - Gastroenterology in Atlanta, GA

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
3886 PRINCETON LAKES WAY SW STE 240, ATLANTA, GA 30331(678) 593-1280(678) 593-1290 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jul 12, 2019, Jun 12, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Shana Kothari Md NPPES

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

DR. SHANA KOTHARI MD (NPI 1992232193) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (101186) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992232193
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHANA KOTHARICredential: MD
Location Address3886 PRINCETON LAKES WAY SW STE 240Atlanta, GA 30331-5511
Mailing Address3886 Princeton Lakes Way Sw Ste 240Atlanta, GA 30331-5511 · (678) 593-1280 · Fax (678) 593-1290
Phone(678) 593-1280
Fax(678) 593-1290
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1992232193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in GA · 101186
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.070937 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3886 PRINCETON LAKES WAY SW STE 240, Atlanta, GA 30331
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shana Kothari Md 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 ID2769750215
PECOS Enrollment IDI20241030003262
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 Reassignments

4

Medicare enrollment records show Shana Kothari reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aga, LLC
10 mi
Gastroenterology
550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 190 clinicians in this Medicare group
NPI 1124064118 (404) 881-1094
Aga Clinical Services, LLC
19 mi
Gastroenterology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
NPI 1295193399 (800) 858-1014
Aga Professional Services, LLC
19 mi
Gastroenterology
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
NPI 1063799120 (855) 709-4535
Advocate Health And Hospitals Corp.
532 mi
General Acute Care Hospital
1304 FRANKLIN AVE
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1831420520 (309) 454-1400

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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30331 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 2

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

SAVANNAH MICHELLE JONES PAC
Physician Assistant
3886 PRINCETON LAKES WAY SW STE 240
ATLANTA, GA 30331
Fulton County (678) 593-1280
BRIA BARRETT FNP-C
Nurse Practitioner
3886 PRINCETON LAKES WAY SW STE 240
ATLANTA, GA 30331
Fulton County (678) 593-1280

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 Shana Kothari's NPI number?

The NPI number for Shana Kothari is 1992232193. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Shana Kothari located?

Shana Kothari practices at 3886 Princeton Lakes Way SW Ste 240, Atlanta, GA 30331. The listed phone number is (678) 593-1280.

What is Shana Kothari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shana Kothari enrolled in Medicare?

Yes. Shana Kothari 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 organizations bill Medicare for Shana Kothari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shana Kothari reassigns Medicare benefits to 4 organizations: Aga, LLC (Atlanta, GA), Aga Clinical Services, LLC (Atlanta, GA), Aga Professional Services, LLC (Atlanta, GA) and Advocate Health And Hospitals Corp. (Normal, IL). Each 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 Shana Kothari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shana Kothari accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Shana Kothari 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 Shana Kothari affiliated with any hospitals?

According to CMS data, Shana Kothari is affiliated with Wellstar Kennestone Regional Medical Center and Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Shana Kothari was last updated on July 30, 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.