Individual provider Active NPI

Sunay Shah, MD

  • Interventional Cardiology Physician
  • Cumming, GA
National Provider Identifier
1578877304
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
95370 Issued in GA
Practice address
3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 95370 GA Primary

Addresses

Primary practice location

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040-3011

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other identifiers 1

IdentifierTypeStateIssuer
95370OtherGAGA LICENSE

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
I20230616003125 GA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2466684774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, shared by 2 NPIs, 45 clinicians

Practice addresses (Care Compare)

101 Greenfield Dr
Suite 260
Cumming, GA 30040-2727
Phone (678) 513-2273

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95370GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care CurrentSince Jul 1, 2023 Accepting new patients
Heart and Vascular Care, LLC Cardiovascular Disease CurrentSince Jul 1, 2023 Accepting new patients
Nmda Anesthesia LLC Past Accepting new patients

Locations

3905 Brookside Pkwy
Ste 101
Alpharetta, GA 30022

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

101 Greenfield Dr
Ste 260
Cumming, GA 30040

3970 Dep Bill Cantrell Memorial Rd
Cumming, GA 30040
Phone 6785132273292

3970 Dep Bill Cantrell Memorial Rd
Ste 100
Cumming, GA 30040

3970 Dep Bill Cantrell Memorial Rd
Ste 203
Cumming, GA 30040
Phone (770) 887-5159

53 Gordon Rd
Ste 102
Jasper, GA 30143

Interoperability endpoints

  • Direct secure messaging: sunay.shah.1@1164.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 3

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1578877304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-276-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEP BILL CANTRELL MEMORIAL RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403011",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SUNAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "95370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "95370",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.