Manan I Shah, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

058505 Issued in GA

Practice address

14 Vision Street
Suite 100
Bethlehem, GA 30620

Phone

(770) 868-0101

Fax

(770) 868-0151

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

Georgetown University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manan I Shah MD PCGroup PAC ID 2062537137, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: mananshahmd@mananshahmd.direct.eyemdemr.com

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.

• Manan I Shah MD PC

  • Ophthalmology Physician
  • Bethlehem, GA
  • NPI 1336468131
  Medicare reassignment Care Compare group NPD Authorized official
• Eye MD Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bethlehem, GA
  • NPI 1306571278

  Ophthalmology

  NPD Authorized official
• Omni Eye Specialists P a

  • Ophthalmology Physician
  • Iselin, NJ
  • NPI 1376593863
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1881621233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VISION STREET",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "30620",
            "telephone_number": "770-868-0101",
            "fax_number": "770-868-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VISION STREET",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "30620",
            "telephone_number": "770-868-0101",
            "fax_number": "770-868-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANAN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "058505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Michael Rutledge, PA
• Douglas Errol Sands Jr., OT
• Amanda D Sarabia
• Jessica Wallace Saville, DPT, PT
• Jacqueline Sequoia, M.D., M.P.H., M.A.S.
• David Sheets, DDS
• Allison Shoupe, PHARM D
• Jennifer Ann Simpson, RNFA, CNOR
• Sleep Elite LLC
• Michael K Sopt, M.D.

• Ophthalmology Physician in Bethlehem, GA
• Providers in Bethlehem, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.

Verify at the official NPI Registry.