Shrenik Pankaj Shah, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

077245 Issued in GA

Practice address

3885 Princeton Lakes Way SW Ste 314
Atlanta, GA 30331-7100

Phone

(404) 349-7770

Fax

(404) 349-7779

NPI assigned

Mar 9, 2009

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Radiology

Education

Albany Medical College of Union University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Vascular Services NortheastGroup PAC ID 3577815695, 11 clinicians

Preferred Vascular Services SouthwestGroup PAC ID 0446502918, 13 clinicians

Preferred Vascular Services Southeast LLCGroup PAC ID 3577812312, 8 clinicians

Preferred Vascular Services Northwest LLCGroup PAC ID 1850552142, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

93.77

Merit-based Incentive Payment System (MIPS)

Final score

89.95 of 100Reported as group

Quality

86.57

Improvement activities

40

Cost

51.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ascsw.shrenikshah@139942.advancedmd-direct.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CIEDBD
• Direct secure messaging: preferredvasculargroup.shrenikshah@126973.advancedmd-direct.com

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.

• Preferred Vascular Services Northeast

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1780184218

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Northwest, LLC

  • Vascular Surgery Physician
  • Marietta, GA
  • NPI 1598037822

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southeast LLC

  • Vascular Surgery Physician
  • Lithonia, GA
  • NPI 1861992976

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Southwest

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1790285229

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Preferred Vascular Services Macon LLC

  • Vascular Surgery Physician
  • Macon, GA
  • NPI 1437659455

  Vascular & Interventional Radiology

  Medicare reassignment NPD
• Macon Vascular Care, LLC

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
  • NPI 1841711942
  Medicare reassignment
• Atlanta Family Foot Care, LLC

  • Podiatric Clinic/Center
  • Atlanta, GA
  • NPI 1700291069
  NPD (past)

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1114168846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 5TH AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304810",
            "telephone_number": "781-413-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW STE 314",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317100",
            "telephone_number": "404-349-7770",
            "fax_number": "404-349-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Washington Ave",
            "address_2": "#517",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191473839",
            "country_code": "US",
            "telephone_number": "781-413-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHRENIK",
        "middle_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "077245",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "077245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Rani Shah, CRNA
• Sheel Nitin Shah, MD
• Sheetal Manan Shah, M.D.
• Shifa Ali Shah, NP
• Shivani Ketan Shah, MD
• Shreshtha Shah
• Swapnil Shah
• Swar Shah, M.D.
• Syed Mohsin Ali Shah
• Tina Shah

• Vascular & Interventional Radiology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Vascular & Interventional Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.