DEEP SHAH (MD) – Internal Medicine Physician, NPI 1114361458
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for DEEP SHAH (MD)
475 PHILIP BLVD
STE 100
LAWRENCEVILLE, GA 300468737
Phone: (770) 995-3300
Fax: (770) 995-3307
Type: Location
2650 Lawrenceville Suwanee Rd
Suwanee, GA 300244918
Phone: (678) 205-5000
Fax: (678) 240-2080
Type: Location
475 Philip Blvd Ste 100
Lawrenceville, GA 300468736
Phone: (770) 995-3300
Fax: (770) 995-3307
Type: Location
2764 Main St W
Snellville, GA 300785708
Phone: (770) 978-3388
Fax: (770) 978-0807
Type: Location
10600 MEDLOCK BRIDGE RD
DULUTH, GA 300978404
Phone:
Type: Mailing
1289 SCENIC HWY
LAWRENCEVILLE, GA 300456358
Phone: (770) 972-9000
Fax: (770) 736-0556
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
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: 2016-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20160316000570 | I | Internal Medicine | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 503 | 240 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 488 | 57 | $0 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 469 | 54 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 458 | 233 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 382 | 49 | $0 |
Insurance plans in this area (ZIP 30046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Family Practice | GA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
Reviews
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