Dhaval Shah, MD
NPI 1699724419 · Internal Medicine Physician · Cumming, GA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dhaval Shah, MD is a Internal Medicine Physician provider in Cumming, GA (NPI 1699724419).
Provider details
- NPI number
- 1699724419
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 52826 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
475 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 236 | $126 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 56 | $89 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 41 | $128 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 34 | $19 |
| Administration of Influenza Virus VaccineG0008 | 33 | $32 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 44 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 308 | 105 |
| Amlodipine Besylate | 156 | 54 |
| Levothyroxine Sodium | 139 | 39 |
| Losartan Potassium | 118 | 42 |
| Metformin Hcl | 117 | 40 |
| Metformin Hclbrand: Metformin Hcl Er | 109 | 41 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$192 across 10 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2014-08-21
Frequently asked questions
- What is Dhaval Shah's NPI number?
- Dhaval Shah's National Provider Identifier (NPI) is 1699724419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dhaval Shah's specialty?
- Dhaval Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dhaval Shah located?
- Dhaval Shah's practice location on file with NPPES is 2320 Atlanta Hwy, Cumming, GA 30040-6339.
- What is Dhaval Shah's phone number?
- The practice phone number listed in the NPPES registry for Dhaval Shah is (770) 203-1000.
- Does Dhaval Shah accept Medicare?
- Dhaval Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dhaval Shah's NPI active?
- Yes — Dhaval Shah's NPI (1699724419) is active in the NPPES registry as of the last update on 2014-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.