Active NPI
Bimal R Shah, MD
- Internal Medicine Physician
- Augusta, GA
National Provider Identifier
1043319890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 037682
- Practice address
- 820 St. Sebastian Way
Suite 2a
Augusta, GA 30901 - Phone
- (706) 722-1249
- Fax
- (706) 722-1947
- NPI assigned
- Sep 21, 2006
- Last updated
- Mar 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 037682 | GA | |
| Specialist | 174400000X | 17759 | SC | |
| Internal Medicine Physician | 207R00000X | 037682 | GA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 037682 | GA |
Addresses
Primary practice location
820 St. Sebastian Way
Suite 2a
Augusta, GA 30901
Mailing address
820 St. Sebastian Way
Suite 2a
Augusta, GA 30901
Phone (706) 722-1249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G37682 | Medicaid | SC | |
| 00571128B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 Saint Sebastian Way
Suite 2a
Augusta, GA 30901-2636
Phone (706) 722-1249
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 20 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bimal R Shah MD PC | Specialist | Current | Accepting new patients |
| Radiation Oncology Associates | Past | Accepting new patients |
Locations
820 Saint Sebastian Way
Ste 2A
Augusta, GA 30901
Phone (706) 722-1249
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/emanuel-d755f68c
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Radiation Oncology Physician
- Augusta, GA
- NPI 1831207992
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba Emanuel Medical Center
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1043319890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 ST. SEBASTIAN WAY",
"address_2": "SUITE 2A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-722-1249",
"fax_number": "706-722-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 ST. SEBASTIAN WAY",
"address_2": "SUITE 2A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30901",
"telephone_number": "706-722-1249",
"fax_number": "706-722-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "BIMAL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "037682",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "17759",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "037682",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "037682",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G37682",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00571128B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.