Active NPI
Paulomi Sahir Shroff, M.D.
- Surgery Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 056483
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Wellstar Cobb Medical Center
- Wellstar Douglas Medical Center
- Wellstar Paulding Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 26 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056483 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Philip Israel Breast Center, P.C. | Surgery | Current | 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.
-
- Surgery Physician
- Marietta, GA
- NPI 1942310917
-
- Psychiatric Hospital Unit
- Atlanta, GA
- NPI 1689361438
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.