Individual provider Active NPI

Rutvij Shah

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, GA
National Provider Identifier
1306209903
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
88122 Issued in GA
Practice address
1831 5TH Ave
Columbus, GA 31904-8915
Phone
(706) 320-8700
Fax
(706) 320-8721
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X 88122 GA Primary

Addresses

Primary practice location

1831 5TH Ave
Columbus, GA 31904-8915

Mailing address

PO Box 117339
Atlanta, GA 30368-4228
Phone (770) 801-2500

Other practice location 1

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 813-2482

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
I20210908003693 GA Practitioner - NeurologyPractitioner - Pain Management 7012204795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians
The Medical Center, Inc.Group PAC ID 9830094077, 31 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

1831 5TH Ave
Suite 100
Columbus, GA 31904-8915
Phone (706) 320-8660

717 20TH St
Columbus, GA 31904-8920
Phone (706) 530-1800

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Merit-based Incentive Payment System (MIPS)

Final score
76.46 of 100Reported as individual
Quality
68.68
Promoting interoperability
100
Improvement activities
40
Cost
52.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laboromniavincit LLC CurrentSince Aug 1, 2025 Accepting new patients
The Medical Center Inc CurrentSince Jul 30, 2021 Accepting new patients
The Medical Center Inc CurrentSince Jul 30, 2021 Accepting new patients

Locations

1831 5th Ave
Ste 100
Columbus, GA 31904
Phone (706) 320-8660

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1831 5th Ave
Columbus, GA 31904
Phone (706) 320-8700

717 20th St
Columbus, GA 31904
Phone (706) 530-1800

Organizations & group practices 4

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 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1306209903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117339",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303684228",
            "telephone_number": "770-801-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 5TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048915",
            "telephone_number": "706-320-8700",
            "fax_number": "706-320-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-813-2482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUTVIJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "88122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.