Active NPI
Nikhil Lalit Shah, D.O., M.P.H.
- Urology Physician
- Atlanta, GA
National Provider Identifier
1457312704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 057674
- Practice address
- 275 Collier Rd NW
Suite 400
Atlanta, GA 30309-1709 - Phone
- (404) 605-4848
- Fax
- (404) 351-5517
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5101013642 | MI | |
| Urology Physician | 208800000X | 057674 | GA | Primary |
Addresses
Primary practice location
275 Collier Rd NW
Suite 400
Atlanta, GA 30309-1709
Mailing address
275 Collier Rd NW
Suite 400
Atlanta, GA 30309-1709
Phone (404) 605-4848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 339403075B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057674 | GA | MD | Urology Physician |
| 5101013642 | MI | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1457312704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-4848",
"fax_number": "404-351-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-4848",
"fax_number": "404-351-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIKHIL",
"middle_name": "LALIT",
"name_prefix": "Dr.",
"credential": "D.O., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "5101013642",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "057674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339403075B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.