Shiv Kumar Agarwal, M.B.B.S., M.D.
Individual provider Active NPI Interventional Cardiology Physician · McDonough, GA
NPI 1306147301 · NPPES record last updated Apr 2, 2023
Key facts
- NPI
- 1306147301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 91640 (GA)
- Practice address
- 3333 Jodeco Rd
McDonough, GA 30253-5319 - Phone
- (770) 692-4000
- NPI assigned
- Nov 6, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlanta Heart Associates PC
Practice addresses (Care Compare)
3333 Jodeco Rd
McDonough, GA 30253-5319
Phone 7706924000118
747 S 8TH St a
Griffin, GA 30224-4818
Phone (770) 233-3309
Hospital & facility affiliations
- Piedmont Henry Hospital
- Southern Regional Medical Center
- Wellstar Spalding Medical Center
- Piedmont Hospital, Inc
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220809000672 | GA | Practitioner - Interventional Cardiology |
5395995526 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9818 | AR | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Heart Associates PC | Cardiovascular Disease | Current |
Accepting new patients |
| Piedmont Henry Hospital, Inc. | Past | Accepting new patients | |
| Department of Neurology Professional Services Group/Slrhc | Past | Accepting new patients |
Locations
747 S 8th St
Ste A
Griffin, GA 30224
Phone (770) 233-3309
483 Upper Riverdale Rd SW
Ste C
Riverdale, GA 30274
Phone (770) 907-9009
350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | E9818 | AR | |
| Cardiovascular Disease Physician | 207RC0000X | 91640 | GA | |
| Interventional Cardiology Physician | 207RI0011X | E9818 | AR | |
| Interventional Cardiology Physician | 207RI0011X | 91640 | GA | Yes |
Addresses
Primary practice location
3333 Jodeco Rd
McDonough, GA 30253-5319
Mailing address
3333 Jodeco Rd
McDonough, GA 30253-5319
Phone (770) 692-4000
Other providers in McDonough, GA
- Admirable Healthcare LLC
- Advir Enterprises LLC
- Affinity Pediatrics
- Affordable Dentures & Implants - McDonough IV, P.C.
- Affordable Dentures & Implants - McDonough, P.C.
- Olivia T Agboola
- Irene Sele Agedah
- Angeles Agrait
- Ahmed Medical Center, Inc.
- Kashif Ahmed
All providers in McDonough, GA · Interventional Cardiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.