Rakesh Rasiklal Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

056220 Issued in GA

Practice address

4010 Oak Forest Circle
Marietta, GA 30062

Phone

(404) 697-5625

Fax

(888) 669-9073

NPI assigned

Aug 15, 2005

Last updated

Nov 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, GA, AL, IN, KY, WV, FL, TX8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 8

Specialty

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Tanner Intensive Medical Services IncGroup PAC ID 8729978622, 15 clinicians

NWMC Emergency Physicians LLCGroup PAC ID 0941604169, 13 clinicians

Great Lakes Emergency Physicians PLLCGroup PAC ID 4789925181, 10 clinicians

Emergency Medicine Services of TN, PCGroup PAC ID 3173989837, 144 clinicians

Fort Oglethorpe Emergency Physicians Group LLCGroup PAC ID 8527323633, 5 clinicians

Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Southland Dodge Emergency Medical Services, LLCGroup PAC ID 8224360805, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
• Gibson General Hospital Hospital, Princeton, IN, CCN 151319
• HCA Florida South Shore Hospital Hospital, Sun City Center, FL, CCN 100259
• Crenshaw Community Hospital Hospital, Luverne, AL, CCN 011308
• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 45)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD

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.

• Southland Dodge Emergency Medical Services, LLC

  • Emergency Medicine Physician
  • Eastman, GA
  • NPI 1851958607
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of TN, PC

  • Emergency Medicine Physician
  • Nashville, TN
  • NPI 1720785884
  Medicare reassignment Care Compare group NPD
• Great Lakes Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Princeton, IN
  • NPI 1457816514
  Medicare reassignment Care Compare group NPD
• Newgen Alabama Billing LLC

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1013744424
  Medicare reassignment Care Compare group NPD
• NWMC Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winfield, AL
  • NPI 1134708506
  Medicare reassignment Care Compare group NPD
• Tanner Intensive Medical Services Inc

  • Internal Medicine Physician
  • Wedowee, AL
  • NPI 1568477313
  Medicare reassignment Care Compare group NPD
• Fort Oglethorpe Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Blue Ridge, GA
  • NPI 1174024376
  Medicare reassignment Care Compare group
• Georgia Emergency Group, LLC

  • Emergency Medicine Physician
  • Griffin, GA
  • NPI 1952746638
  Medicare reassignment NPD
• Hartwell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hartwell, GA
  • NPI 1962540849
  Medicare reassignment NPD
• Concord Company of Tennessee PLLC

  • Emergency Medicine Physician
  • Leitchfield, KY
  • NPI 1649743667

  IN

  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Ridge Georgia Hospital Company LLC

  dba Blue Ridge Medical Center

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation
• Crenshaw County Health Care Authority

  dba Crenshaw Community Hospital

  • Critical Access Hospital
  • Luverne, AL
  • NPI 1750480406
  Care Compare affiliation
• Gibson General Hospital Inc.

  • Critical Access Hospital
  • Princeton, IN
  • NPI 1558346007
  Care Compare affiliation
• Parkridge Medical Center, Inc.

  dba Parkridge Medical Center

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Care Compare affiliation
• Sun City Hospital Inc

  dba HCA Florida South Shore Hospital

  • General Acute Care Hospital
  • Sun City Center, FL
  • NPI 1164476867
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1063414522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 OAK FOREST CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625253",
            "telephone_number": "404-697-5625",
            "fax_number": "888-669-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 OAK FOREST CIRCLE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "404-697-5625",
            "fax_number": "888-669-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAKESH",
        "middle_name": "RASIKLAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "36761",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2016-0649",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110234591",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kajal K Shah
• Kandarp Shah
• Leena Shah, PA
• Nikhil S Shah, M.D.
• Nirav K Shah, PHARM.D.
• Reshma Pradip Shah, MD
• Ritesh Shah, MD
• Tina R Shah, M.D.
• Tushar Shah, MD
• Vaishali S Shah, MD

• Internal Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.

Verify at the official NPI Registry.