Individual provider Active NPI

Shaheen P Noorani, M.D

  • Specialist
  • Dalton, GA
National Provider Identifier
1750372561
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042678 Issued in GA
Practice address
1210 Broadrick Dr
Suite 1
Dalton, GA 30720-2676
Phone
(706) 277-4799
Fax
(706) 277-5054
NPI assigned
Nov 1, 2005
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 042678 GA Primary

Addresses

Primary practice location

1210 Broadrick Dr
Suite 1
Dalton, GA 30720-2676

Mailing address

1210 Broadrick Dr
Suite 1
Dalton, GA 30720-2676
Phone (706) 277-4799

Other identifiers 1

IdentifierTypeStateIssuer
00744906CMedicaidGA

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
I20060327000425 GA Practitioner - Pulmonary Disease 4688682065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1210 Broadrick Dr
Suite 1
Dalton, GA 30720-2676
Phone (706) 277-4799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042678GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Aug 20, 2015 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Aug 20, 2015 Accepting new patients
Lung & Sleep Specialist, LLC CurrentSince May 28, 2014 Accepting new patients
Rome Wellness Diagnostics Past Accepting new patients
Cartersville Wellness Diagnostics Past Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1210 Broadrick Dr
Ste 1
Dalton, GA 30720
Phone (706) 277-4799

Interoperability endpoints

  • Direct secure messaging: snoorani18531@hhcs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1750372561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BROADRICK DR",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202676",
            "telephone_number": "706-277-4799",
            "fax_number": "706-277-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BROADRICK DR",
            "address_2": "SUITE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202676",
            "telephone_number": "706-277-4799",
            "fax_number": "706-277-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORANI",
        "first_name": "SHAHEEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "042678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00744906C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.