Individual provider Active NPI

Virang Girish Shah, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Suwanee, GA
National Provider Identifier
1124306568
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001250 Issued in GA
Practice address
3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618
Phone
(315) 882-1200
NPI assigned
Aug 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001250 GA Primary

Addresses

Primary practice location

3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618

Mailing address

3925 Johns Creek CT
Suite C2
Suwanee, GA 30024-6618
Phone (315) 882-1200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000298 GA Practitioner - Podiatry 5698997112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Health Centers, LLCGroup PAC ID 5698084390, 2 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Johns Creek, GA 30097-1517

11315 Johns Creek Pkwy
Suite 360
Johns Creek, GA 30097-2646
Phone (678) 871-0876

Hospital & facility affiliations

  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions1-10
Removal of nail tissue946
Removal or shaving of skin growth191
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Health Centers, LLC Foot & Ankle Surgery CurrentSince Aug 27, 2014 Accepting new patients

Locations

3925 Johns Creek Ct
Ste C2
Suwanee, GA 30024
Phone (470) 268-6980

Interoperability endpoints

  • Direct secure messaging: virang.shah.1@11046.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11046/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1124306568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT",
            "address_2": "SUITE C2",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "315-882-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 JOHNS CREEK CT",
            "address_2": "SUITE C2",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246618",
            "telephone_number": "315-882-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRANG",
        "middle_name": "GIRISH",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.