NIKHIL S SHAH (M.D.) – Gastroenterology Physician, NPI 1104810027

NIKHIL S SHAH (M.D.) is a healthcare provider. based in Ooltewah, Tennessee. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 36425 (TN). The NPI Number for NIKHIL S SHAH (M.D.) is 1104810027

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
NIKHIL S SHAH (M.D.)
NPI
1104810027
Phone
(423) 760-4360
Address
2106 OOLTEWAH RINGGOLD RD
Enumeration Date
7 September 2005
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1980 (46 years ago)
PAC ID
4688574304
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20250131002619
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
nshah610115@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

524 GASTROENTEROLOGY in GA

Provider Addresses for NIKHIL S SHAH (M.D.)

  • 2106 OOLTEWAH RINGGOLD RD

    OOLTEWAH, TN 373639345

    Phone: (423) 760-4360

    Fax: (423) 760-4367

    Type: Mailing

  • 780 CANTON RD NE STE 328

    MARIETTA, GA 300607289

    Phone: (943) 610-0145

    Type: Location

  • 935, Spring Creek Road, East Ridge, Hamilton County, Tennessee, 37412, United States

    SUITE 203

    CHATTANOOGA, TN 374123909

    Phone: (423) 760-4360

    Fax: (423) 760-4367

    Type: Mailing

  • 2106 Ooltewah Ringgold Rd

    Ooltewah, TN 373639345

    Phone: (423) 760-4360

    Fax: (423) 760-4367

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-10-21 • Largest payer in this snapshot: Janssen Biotech, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$22
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: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040109000900IGastroenterologyTNTBD
I20230922001537IGastroenterologyALTBD
I20231025000031IInternal MedicineMSTBD
I20241025000012IInternal MedicineGATBD
I20250131002619IGastroenterologyGATBD

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 37363)

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Provider's Procedures

NIKHIL S SHAH (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTN45378Diagnostic examination of large bowel using an endoscope2727
GASTROENTEROLOGYTN45385Removal of polyps or growths of large bowel using an endoscope8077

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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to NIKHIL S SHAH (M.D.)?
NPI 1104810027 is assigned to NIKHIL S SHAH (M.D.) under the national enumeration system.
Is NIKHIL S SHAH (M.D.)'s NPI currently valid?
The extract we use shows NIKHIL S SHAH (M.D.) as active.
Does NIKHIL S SHAH (M.D.) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for NIKHIL S SHAH (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for NIKHIL S SHAH (M.D.)?
We surface Ooltewah, Tennessee for NIKHIL S SHAH (M.D.) based on available NPPES addresses.
Is NIKHIL S SHAH (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104810027. Always confirm identity and privileges with the practice and licensing boards.

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