Individual provider Active NPI

Shatul L. Parikh, M.D.

  • Otolaryngology Physician
  • Marietta, GA
National Provider Identifier
1447434915
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
55430 Issued in GA
Practice address
80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060
Phone
(770) 427-0368
Fax
(678) 581-5969
NPI assigned
Dec 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 055430 GA
Otolaryngology Physician 207Y00000X 55430 GA Primary

Addresses

Primary practice location

80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060

Mailing address

80 Lacy St NW
Northwest ENT and Allergy Center
Marietta, GA 30060
Phone (770) 427-0368

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
I20080716000139 GA Practitioner - Otolaryngology 3577636133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest ENT Associates PCGroup PAC ID 2264498807, 15 clinicians

Practice addresses (Care Compare)

80 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 427-0368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055430GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest ENT Associates, PC Otolaryngology CurrentSince Aug 18, 2008 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Nov 1, 2008 Accepting new patients
Emory Medical Care Foundation Otolaryngology CurrentSince Nov 1, 2008 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Pediatric and Adult Surgery Center of Atlanta LLC CurrentSince May 20, 2024 Accepting new patients
Northwest ENT Surgery Center, LLC Current Accepting new patients
Neurologiciom Past Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2061 Peachtree Rd NE
Ste 300
Atlanta, GA 30309
Phone (404) 350-7955

2061 Peachtree Rd NE
Ste 300A
Atlanta, GA 30309
Phone (678) 483-8833

13 Reinhardt College Pkwy
Canton, GA 30114

100 Market Place Blvd
Ste 209
Cartersville, GA 30121
Phone (770) 382-0041

80 Lacy St NW
Marietta, GA 30060
Phone (770) 429-0507

1121 Johnson Ferry Rd
Ste 300
Marietta, GA 30068
Phone (770) 973-5252

960 Woodstock Pkwy
Ste 101
Woodstock, GA 30188
Phone (678) 483-8833

960 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 483-8833

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1447434915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "address_2": "NORTHWEST ENT AND ALLERGY CENTER",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-427-0368",
            "fax_number": "678-581-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LACY ST NW",
            "address_2": "NORTHWEST ENT AND ALLERGY CENTER",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "770-427-0368",
            "fax_number": "678-581-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "SHATUL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "055430",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "55430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.