JAYENDRAKUMAR J SHAH (MD) – Orthopaedic Surgery Physician, NPI 1568411254
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
Provider Addresses for JAYENDRAKUMAR J SHAH (MD)
10600 MEDLOCK BRIDGE RD
DULUTH, GA 300978404
Phone:
Type: Mailing
475 PHILIP BLVD STE 100
LAWRENCEVILLE, GA 300468736
Phone: (770) 995-3300
Fax: (770) 995-0794
Type: Location
475, Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States
STE 100
LAWRENCEVILLE, GA 300468737
Phone: (770) 995-3300
Fax: (770) 995-3307
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-06-01
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 |
|---|---|---|---|---|
| I20090601000331 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 119 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 45 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 39 | 26 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 33 | 28 | $0 |
| 73562 | X-ray of knee, 3 views | 22 | 16 | $0 |
Insurance plans in this area (ZIP 30097)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA |
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