DR. INDRA C SHAH – Internal Medicine Physician, NPI 1639202120

DR. INDRA C SHAH is a healthcare provider. based in Lawrenceville, Georgia. specializing in Internal Medicine Physician. They hold a License No. 023224 (GA). The NPI Number for DR. INDRA C SHAH is 1639202120

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. INDRA C SHAH
NPI
1639202120
Phone
(770) 963-2474
Address
601 OLD NORCROSS RD STE A
Enumeration Date
13 March 2007
Last Update Date
16 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709495535
Graduation Year
1972 (54 years ago)
PAC ID
3274503958
Group Practice PAC ID
3173596400
Professional Enrollment ID
I20040729000738
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. INDRA C SHAH

  • 601 OLD NORCROSS RD STE A

    LAWRENCEVILLE, GA 300464311

    Phone: (770) 963-2474

    Fax: (770) 963-2476

    Mailing address matches the actual address.

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: 2004-07-29

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
I20040729000738IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes298218$0
99213Established patient office or other outpatient visit, 20-29 minutes174137$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
81002Urinalysis, manual test8978$0
G0444Annual depression screening, 5 to 15 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 3173596400View full group profile
NameSpecialtyState
Internal Medicine, Family Practice, General PracticeGA
-SC
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Internal MedicineGA
Pulmonary Disease, Critical Care (Intensivists), General Practice, Internal MedicineGA

Reviews

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Frequently asked questions

How do payers reference DR. INDRA C SHAH?
For DR. INDRA C SHAH, use NPI 1639202120 as the unique 10-digit identifier.
Is DR. INDRA C SHAH still an active registrant?
DR. INDRA C SHAH carries an active NPI according to the public dataset.
How would a patient describe DR. INDRA C SHAH's focus?
For DR. INDRA C SHAH, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. INDRA C SHAH?
Travel planning: use Lawrenceville, Georgia as the reference point for DR. INDRA C SHAH, then confirm.
Does DR. INDRA C SHAH accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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