Active NPI
Ritesh Shah, MD
- Gastroenterology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 057490
- Practice address
- 711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948 - Phone
- (770) 429-0031
- Fax
- (678) 819-4299
- NPI assigned
- May 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 057490 | GA | Primary |
Addresses
Primary practice location
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948
Mailing address
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8948
Phone (678) 741-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 898151649D | Medicaid | GA | |
| 898151649E | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060626000177 | GA | Practitioner - Gastroenterology | 4880606318 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057490 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Specialist of Georgia | Gastroenterology | Current | Accepting new patients |
| NW Georgia Gastroenterology Associates,PC | Past | Accepting new patients |
Locations
4900 Ivey Rd NW
Ste 1205
Acworth, GA 30101
Phone (770) 793-9750
13 Reinhardt College Pkwy
#200
Canton, GA 30114
6002 Professional Pkwy
Ste 200
Douglasville, GA 30134
Phone (770) 942-0457
8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584
2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000
148 Bill Carruth Pkwy
Ste 200
Hiram, GA 30141
880 Crestmark Dr
Ste 102
Lithia Springs, GA 30122
Phone (678) 388-2040
2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414
711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
1121 Johnson Ferry Rd
Ste 150
Marietta, GA 30068
Phone (770) 977-1510
2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943
1357 Hembree Rd
Ste 240
Roswell, GA 30076
Phone (404) 446-3600
118 Mill St
Ste 110
Woodstock, GA 30188
Phone (678) 741-2317
118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317
Interoperability endpoints
- ritesh.shah@gsg.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
GA, Gastroenterology
-
- Specialist
- Marietta, GA
- NPI 1922161942
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Florida College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gastrointestinal Specialist of Georgia
Practice addresses (Care Compare)
1121 Johnson Ferry Rd
Suite 150
Marietta, GA 30068-2791
Phone (678) 741-5000
118 Mill St
Suite 100
Woodstock, GA 30188-4880
Phone (678) 741-5000
711 Canton Rd
Suite 300
Marietta, GA 30060-1136
Phone (678) 741-5000
711 Canton Rd NE
Suite 300
Marietta, GA 30060-8949
Phone (678) 741-5000
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 74 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 81 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1720037021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 CANTON RD NE",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608948",
"telephone_number": "678-741-5000",
"fax_number": "678-819-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 CANTON RD NE",
"address_2": "SUITE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608948",
"telephone_number": "770-429-0031",
"fax_number": "678-819-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RITESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "057490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "898151649D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "898151649E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.