Individual provider Active NPI

Shubh Ayengar, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Suwanee, GA
National Provider Identifier
1154641975
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
93204 Issued in GA
Practice address
4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122
Phone
(678) 990-3962
Fax
(678) 623-3862
NPI assigned
Jun 3, 2010
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 93204 GA Primary

Addresses

Primary practice location

4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122

Mailing address

4245 Johns Creek Pkwy Ste a
Suwanee, GA 30024-9122
Phone (678) 990-3962

Other practice location 1

4265 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6038
Phone (678) 990-3962

Other names 1

  • Ms. Shubh Sharma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200121001022 WA Practitioner - Sleep Medicine 0042438079 Reassigns benefits to 2 organizations
I20231219003127 GA Practitioner - Sleep Medicine 0042438079 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Creekside Sleep Medicine Center PLLC Sleep Medicine CurrentSince Nov 1, 2019 Accepting new patients
Fusion Sleep LLC Sleep Medicine CurrentSince Nov 7, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 1, 2021 Accepting new patients
Seattle Sleep Institute LLC Current Accepting new patients
Fusion Sleep Medical LLC Sleep Medicine CurrentSince Nov 7, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Feb 1, 2021 Accepting new patients

Locations

3650 Mansell Rd
Ste 100
Alpharetta, GA 30022
Phone (678) 990-3962

3650 Mansell Rd
Ste 125
Alpharetta, GA 30022
Phone (678) 990-3962

4245 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 990-3962

4265 Johns Creek Pkwy
#A
Suwanee, GA 30024
Phone (678) 990-3962

1380 112th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 278-2250

22525 SE 64th Pl
Bldg H
Issaquah, WA 98027
Phone (425) 278-2250

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1154641975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-990-3962",
            "fax_number": "678-623-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 JOHNS CREEK PKWY STE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249122",
            "telephone_number": "678-990-3962",
            "fax_number": "678-623-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4265 Johns Creek Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246038",
            "country_code": "US",
            "telephone_number": "678-990-3962",
            "fax_number": "678-623-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYENGAR",
        "first_name": "SHUBH",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "GA",
            "license": "93204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHUBH",
            "last_name": "SHARMA",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.