Individual provider Active NPI

Rohan Shah, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Hixson, TN
National Provider Identifier
1811139470
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD48412 Issued in TN
Practice address
1605 Williams Rd
Ste 201
Hixson, TN 37343-4934
Phone
(423) 756-1002
Fax
(423) 756-1004
NPI assigned
Mar 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD48412 TN Primary

Addresses

Primary practice location

1605 Williams Rd
Ste 201
Hixson, TN 37343-4934

Mailing address

1605 Williams Rd
Ste 201
Hixson, TN 37343-4934
Phone (423) 756-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20120709000376 TN Practitioner - Ophthalmology 1951566462 Reassigns benefits to 1 organization
I20150115000966 GA Practitioner - Ophthalmology 1951566462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1124 E Weisgarber Rd
Suite 207
Knoxville, TN 37909-2686
Phone (865) 588-0811

1506 N Thornton Ave
Suite D
Dalton, GA 30720-8515
Phone (423) 756-1002

1606 Gunbarrel Rd
Suite 1
Chattanooga, TN 37421-7195
Phone (423) 756-1002

1961 Northpoint Blvd
Suite 110
Hixson, TN 37343-4556
Phone (423) 756-1002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
86.74
Promoting interoperability
93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Retina Associates, P.C. Retina Specialist CurrentSince Sep 1, 2014 Accepting new patients
Southeastern Retina Associates, P.C. Retina Specialist CurrentSince Sep 1, 2014 Accepting new patients
Southeastern Retina Associates, P.C. Retina Specialist Past Accepting new patients

Locations

1506 N Thornton Ave
Dalton, GA 30720
Phone (706) 270-5047

1506 N Thornton Ave
Ste D
Dalton, GA 30720
Phone (706) 229-5980

210 Redmond Rd NW
Rome, GA 30165
Phone (706) 234-8221

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C235
Chattanooga, TN 37403
Phone (423) 602-8400

7268 Jarnigan Rd
Ste 300
Chattanooga, TN 37421

1606 Gunbarrel Rd
Ste 101
Chattanooga, TN 37421
Phone (423) 643-0772

1606 Gunbarrel Rd
Ste 1
Chattanooga, TN 37421

2850 Ocoee St N
Ste C
Cleveland, TN 37312
Phone (423) 559-2800

924 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 629-7688

1605 Williams Rd
#201
Hixson, TN 37343
Phone (423) 756-1512

1961 Northpoint Blvd
Ste 110
Hixson, TN 37343

Dept 888128
Knoxville, TN 37995

Dept 888171
Knoxville, TN 37995

1124 E Weisgarber Rd
Ste 207
Knoxville, TN 37909
Phone (865) 273-0008

Knoxville, TN 37995

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": "1238284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1811139470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WILLIAMS RD",
            "address_2": "STE 201",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434934",
            "telephone_number": "423-756-1002",
            "fax_number": "423-756-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WILLIAMS RD",
            "address_2": "STE 201",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434934",
            "telephone_number": "423-756-1002",
            "fax_number": "423-756-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ROHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-29",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "MD48412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.