Individual provider Active NPI

Shawn A Chaudhary, M.D.

  • Gastroenterology Physician
  • Burnt Hills, NY
National Provider Identifier
1285808618
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
271253 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12027
Phone
(518) 831-1500
Fax
(518) 377-1677
NPI assigned
Apr 16, 2008
Last updated
May 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 271253 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12027

Mailing address

848 Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916000917 GA Practitioner - Internal MedicinePractitioner - Gastroenterology 0941437115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastrointestinal Specialist of GeorgiaGroup PAC ID 9335032820, 35 clinicians

Practice addresses (Care Compare)

711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271253NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Gastroenterology CurrentSince Jul 15, 2021 Accepting new patients
Kennestone Hospital, Inc. Past Accepting new patients
Gastrointestinal Diagnostic Endoscopy Woodstock, LLC Past Accepting new patients
Douglas Hospital, Inc. Past Accepting new patients
Gi Diagnostics Endoscopy Center, LLC Past Accepting new patients
Paulding Medical Center, Inc. Past Accepting new patients
Dca Diagnostics, LLC Past Accepting new patients

Locations

4900 Ivey Rd NW
Ste 1205
Acworth, GA 30101
Phone (770) 793-9750

13 Reinhardt College Pkwy
#200
Canton, GA 30114

6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 496-9400

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510

2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

118 Mill St
Ste 110
Woodstock, GA 30188

Interoperability endpoints

  • Direct secure messaging: shawn.chaudhary@gsg.eclinicaldirectplus.com

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.

Hospital & facility affiliations 4

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1285808618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "SHAWN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "271253",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.