Active NPI
Karuna Shah, DO
- Neurology Physician
- Covington, GA
National Provider Identifier
1336153733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 043773
- Practice address
- 5211 Highway 278 NE
Covington, GA 30014-2671 - Phone
- (770) 787-8200
- Fax
- (770) 787-8228
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 043773 | GA | Primary |
Addresses
Primary practice location
5211 Highway 278 NE
Covington, GA 30014-2671
Mailing address
1752 Brockett Road
Tucker, GA 30084
Phone (770) 787-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00764497E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043773 | GA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Newton Hospital, Inc. | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Past | Accepting new patients | |
| Rosenthal, Clark and Matsurra | Past | Accepting new patients |
Interoperability endpoints
- kshah639877@direct.multicare.org
- karuna.shah@gadirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Specialist
- Atlanta, GA
- NPI 1568670180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1336153733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1752 BROCKETT ROAD",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "770-787-8200",
"fax_number": "770-787-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 HIGHWAY 278 NE",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142671",
"telephone_number": "770-787-8200",
"fax_number": "770-787-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KARUNA",
"name_prefix": "Mrs.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "043773",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00764497E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.