Individual provider Active NPI

Paulomi Sahir Shroff, M.D.

  • Surgery Physician
  • Austell, GA
National Provider Identifier
1396756284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
056483 Issued in GA
Practice address
1790 Mulkey Rd
Suite 9-C
Austell, GA 30106-1122
Phone
(770) 941-3515
Fax
(772) 941-3490
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 056483 GA Primary

Addresses

Primary practice location

1790 Mulkey Rd
Suite 9-C
Austell, GA 30106-1122

Mailing address

702 Canton Rd NE
Marietta, GA 30060-7271
Phone (770) 428-4486

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
I20061024000041 GA Practitioner - General Surgery 7416954193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Philip Israel Breast Center PCGroup PAC ID 9931180098, 4 clinicians

Practice addresses (Care Compare)

1790 Mulkey Rd
Suite 9C
Austell, GA 30106-1122
Phone (770) 428-4486

4441 Atlanta Rd NE
Suite 319
Smyrna, GA 30080-6406
Phone (770) 428-4486

6002 Professional Pkwy
Suite 260
Douglasville, GA 30134-5628
Phone (770) 428-4486

699 Church St NE
Suite 210
Marietta, GA 30060-1116
Phone (770) 428-4486

702 Canton Rd
Marietta, GA 30060-7271

702 Canton Rd NE
Marietta, GA 30060-7271
Phone (770) 428-4486

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

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
Mastectomy26
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056483GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Philip Israel Breast Center, P.C. Surgery CurrentSince Jul 1, 2006 Accepting new patients
Kennestone Hospital, Inc Past Accepting new patients

Locations

1790 Mulkey Rd
Ste 9C
Austell, GA 30106
Phone (770) 428-4486

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

702 Canton Rd NE
Marietta, GA 30060
Phone (770) 428-4486

4441 Atlanta Rd SE
Ste 319
Smyrna, GA 30080
Phone (770) 792-6262

Organizations & group practices 2

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 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396756284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 CANTON RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607271",
            "telephone_number": "770-428-4486",
            "fax_number": "770-425-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 MULKEY RD",
            "address_2": "SUITE 9-C",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061122",
            "telephone_number": "770-941-3515",
            "fax_number": "772-941-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROFF",
        "first_name": "PAULOMI",
        "middle_name": "SAHIR",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "056483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.