PURVI SHAAN SHAH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1215164942

PURVI SHAAN SHAH (DPM) is a healthcare provider. based in Gainesville, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD001208 (GA). The NPI Number for PURVI SHAAN SHAH (DPM) is 1215164942

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
PURVI SHAAN SHAH (DPM)
NPI
1215164942
Phone
(470) 252-5756
Address
590 S ENOTA DR NE STE 1
Enumeration Date
21 June 2009
Last Update Date
18 December 2017

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4702525756
Graduation Year
2009 (17 years ago)
PAC ID
4183868342
Group Practice PAC ID
8729356662
Professional Enrollment ID
I20130910000660
Address ID
GA305012433GA590XXNEXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

432 PODIATRY in GA

Provider Addresses for PURVI SHAAN SHAH (DPM)

  • 590 S ENOTA DR NE STE 1

    GAINESVILLE, GA 305012433

    Phone: (470) 252-5756

    Fax: (470) 252-5756

    Type: Location

  • 590, South Enota Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305012433

    Phone: (770) 418-0456

    Fax: (770) 418-1603

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: QOL Medical, LLC ($95).

Total Amount

$142

General + Research + Ownership

Payments

6

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130910000660IPodiatryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails22577$0
99213Established patient office or other outpatient visit, 20-29 minutes14385$0
11056Removal of noncancer thickened skin growth, 2-4 growths6729$0
11055Removal of noncancer thickened skin growth, 1 growth6638$0
73630X-ray of foot, minimum of 3 views4732$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729356662View full group profile
NameSpecialtyState
P O D I A T R YGA
-GA

Reviews

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Frequently asked questions

Can I cross-check PURVI SHAAN SHAH (DPM) using NPI 1215164942?
NPI 1215164942 belongs to PURVI SHAAN SHAH (DPM); compare other details if you need extra assurance.
Active or inactive — what applies to PURVI SHAAN SHAH (DPM)?
You should see PURVI SHAAN SHAH (DPM) as active in CMS-hosted NPPES data.
What kind of doctor is PURVI SHAAN SHAH (DPM)?
PURVI SHAAN SHAH (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PURVI SHAAN SHAH (DPM)?
Travel planning: use Gainesville, Georgia as the reference point for PURVI SHAAN SHAH (DPM), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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