AHMED IJAZ SHAH (MD) – Interventional Cardiology Physician, NPI 1255489274

AHMED IJAZ SHAH (MD) is a healthcare provider. based in Macon, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 064736 (GA). The NPI Number for AHMED IJAZ SHAH (MD) is 1255489274

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
AHMED IJAZ SHAH (MD)
NPI
1255489274
Phone
(478) 301-2362
Address
PO BOX 4947
Enumeration Date
8 January 2007
Last Update Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5107521000
Graduation Year
1995 (31 years ago)
PAC ID
1355420803
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20080508000447
Address ID
CA946115730OA3600XBROA200

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for AHMED IJAZ SHAH (MD)

  • Macon Post Office, 101, West Dunn Street, Macon, Macon County, Illinois, 62544, United States

    MACON, GA 312084947

    Phone: (478) 301-2362

    Fax: (478) 301-2272

    Type: Mailing

  • 250, Martin Luther King Junior Boulevard, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312013490

    Phone: (478) 301-4111

    Fax: (478) 301-5812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: PFIZER INC. ($26).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2008-05-08

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
I20080508000447ICardiovascular Disease (Cardiology)CATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31208)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Is AHMED IJAZ SHAH (MD) listed with a National Provider Identifier?
Yes — AHMED IJAZ SHAH (MD) has NPI 1255489274 on file in the registry.
Is AHMED IJAZ SHAH (MD) shown as active in public data?
Registry records indicate AHMED IJAZ SHAH (MD) maintains an active NPI.
What kind of doctor is AHMED IJAZ SHAH (MD)?
AHMED IJAZ SHAH (MD) is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with AHMED IJAZ SHAH (MD)?
Directory geography for AHMED IJAZ SHAH (MD) centers on Macon, Georgia.
When was this NPI issued?
Enumeration for AHMED IJAZ SHAH (MD) is noted as January 8, 2007 where the registry provides it.

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