Individual provider Active NPI

Kairav Shah, MD

  • Infectious Disease Physician
  • Stockbridge, GA
National Provider Identifier
1497919450
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
81208 Issued in GA
Practice address
7444 Hannover Pkwy S Ste 210
Stockbridge, GA 30281-7847
Phone
(770) 741-1750
Fax
(770) 741-1755
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 81208 GA Primary

Addresses

Primary practice location

7444 Hannover Pkwy S Ste 210
Stockbridge, GA 30281-7847

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 654-4201

Other identifiers 1

IdentifierTypeStateIssuer
011920900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140715001580 FL Practitioner - Infectious Disease 4082883194 Reassigns benefits to 2 organizations
I20181101003363 GA Practitioner - Infectious Disease 4082883194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians
DCHD Health Care Professionals LLCGroup PAC ID 6800910365, 11 clinicians

Practice addresses (Care Compare)

27400 Riverview Ctr Blvd
Suite 1
Bonita Springs, FL 34134-4324
Phone (877) 448-3627

7444 Hannover Pkwy S
Suite 210
Stockbridge, GA 30281-7847
Phone (770) 741-1751

7823 Spivey Station Blvd
Suite 360
Jonesboro, GA 30236-2886
Phone (888) 220-6432

900 N Robert Ave
Arcadia, FL 34266-8712
Phone (863) 494-8426

Hospital & facility affiliations

  • Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
  • Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Sep 10, 2018 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Sep 10, 2018 Accepting new patients
DCHD Health Care Professionals LLC CurrentSince Oct 1, 2019 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

27400 Riverview Center Blvd
Ste 1
Bonita Springs, FL 34134
Phone (239) 301-2319

6611 Orion Dr
Ste 103
Fort Myers, FL 33912

13550 SW 120th St
Ste 510
Miami, FL 33186

341 Bullard Pkwy
Ste Ab
Temple Terrace, FL 33617

11800 Northfall Ln
Ste 1406
Alpharetta, GA 30009
Phone (678) 413-1360

7823 Spivey Station Blvd
Ste 360
Jonesboro, GA 30236
Phone (770) 741-1750

755 Mount Vernon Hwy NE
Ste 140
Sandy Springs, GA 30328
Phone (404) 252-9911

7444 Hannover Pkwy S
Ste 210
Stockbridge, GA 30281
Phone (770) 741-1750

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

Organizations & group practices 4

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1497919450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-654-4201",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7444 HANNOVER PKWY S STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817847",
            "telephone_number": "770-741-1750",
            "fax_number": "770-741-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KAIRAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "81208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011920900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.