Individual provider Active NPI

Ronak Naresh Shah, M.D.

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1639435936
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
079544 Issued in GA
Practice address
49 Jesse Hill Jr Dr SE
Suite 470a
Atlanta, GA 30303
Phone
(404) 778-0263
Fax
(404) 778-1444
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 079544 GA Primary

Addresses

Primary practice location

49 Jesse Hill Jr Dr SE
Suite 470a
Atlanta, GA 30303

Mailing address

49 Jesse Hill Jr Dr SE
Suite 470a
Atlanta, GA 30303-3049
Phone (404) 778-0263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD, DC, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20181108001698 GA Practitioner - Diagnostic Radiology 4688976772 Reassigns benefits to 3 organizations
I20210126001193 MD Practitioner - Diagnostic Radiology 4688976772 Reassigns benefits to 1 organization
I20210126001313 DC Practitioner - Diagnostic Radiology 4688976772 Reassigns benefits to 2 organizations
I20260619001802 NY Practitioner - Diagnostic Radiology 4688976772

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 20LL
Bethesda, MD 20817-1106
Phone (888) 601-0943

1080 Brook Valley LN
MC Lean, VA 22102-1532
Phone (443) 436-1116

67 Thomas Johnson Dr
Suite 4
Frederick, MD 21702-4862
Phone (888) 601-0943

955 Juniper St NE
Unit 2233
Atlanta, GA 30309-5109
Phone (443) 436-1100

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079544GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Current Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 19, 2021 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Community Care Physicians, PLLC Diagnostic Radiology CurrentSince Jul 1, 2026 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Nov 8, 2021 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Apr 2, 2025 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Radiology Associates of Dekalb PC Diagnostic Radiology Past Accepting new patients

Locations

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

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

49 Jesse Hill Jr Dr SE
Ste 470A
Atlanta, GA 30303
Phone (404) 778-0263

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 20LL
Bethesda, MD 20817

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

18103 Prince Philip Dr
Olney, MD 20832
Phone (301) 460-2600

6 Wellness Way
Latham, NY 12110
Phone (518) 881-1109

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1639435936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JESSE HILL JR DR SE",
            "address_2": "SUITE 470A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033049",
            "telephone_number": "404-778-0263",
            "fax_number": "404-778-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JESSE HILL JR DR SE",
            "address_2": "SUITE 470A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-778-0263",
            "fax_number": "404-778-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RONAK",
        "middle_name": "NARESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "079544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.