DR. ASHA PATEL SHAH (M.D.) – Dermatology Physician, NPI 1043447360
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ASHA PATEL SHAH (M.D.)
455 MORELAND AVE NE # 5321
ATLANTA, GA 303078200
Phone:
Type: Mailing
6919 N DALE MABRY HWY STE 210
TAMPA, FL 336143972
Phone: (813) 558-4900
Fax: (813) 558-2155
Type: Location
715, East Broadway Avenue, Bismarck, Burleigh County, North Dakota, 58501, United States
BISMARCK, ND 585014451
Phone: (701) 323-8922
Fax: (701) 323-8018
Type: Location
1152, Orme Circle Northeast, Atlanta, Fulton County, Georgia, 30306, United States
ATLANTA, GA 303063656
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $197,344.
Total Amount is formed as General ($197,344) + Research ($0) + Ownership ($0) = $197,344.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Janssen Research & Development, LLC ($197,329).
Total Amount
$197,344
General + Research + Ownership
Payments
15
Total payment records
General Amount
$197,344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Research & Development, LLC | $197,329 |
| Phathom Pharmaceuticals, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131028001346 | I | Dermatology | GA | TBD |
| I20190212002045 | I | Dermatology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30307)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OK | |
| Nurse Practitioner | SD | |
| Family Practice | MI | |
| Family Practice | GA | |
| - | TX | |
| Diagnostic Radiology | PA | |
| Endocrinology, Internal Medicine | WA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | OK | |
| - | SD |
Reviews
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