2026 NPPES data Gastroenterology Physician NPI 1356878896 MD
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SHIVANI SHAH, MD

Gastroenterology Physician in ATLANTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
24
Medicare Part D claims · 15 beneficiaries · Gastroenterology Physician avg: 833
Industry payments
$167.9
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHIVANI SHAH, MD filed 24 Medicare Part D claims in 2023 as a Gastroenterology Physician in ATLANTA, Georgia.

24
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

SHIVANI SHAH, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

24 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SHIVANI SHAH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about SHIVANI SHAH, MD?

Quality data not reported

NPI registry status

Active

Issued 05/15/2017

NPI 1356878896

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

24 97% vs specialty avg

2023 prescription claims

Specialty avg: 833

Specialty distribution in Georgia

How Gastroenterology Physician compares to other specialties among Georgia providers

Georgia providers

Gastroenterology Physician share within Georgia

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SHIVANI SHAH, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1968 PEACHTREE RD NW, ATLANTA, GA, 30309, with a listed phone of (404) 605-4600. NPI 1356878896 was issued on 05/15/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 24 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $25K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1968 PEACHTREE RD NW
ATLANTA, GA 30309

Provider Details

NPI 1356878896
Specialty Gastroenterology Physician
Credentials MD
Gender Female
NPI Issued 05/15/2017

Hospital and facility affiliations

Facilities where SHIVANI SHAH, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PIEDMONT PROVIDERS LLC
ATLANTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SHIVANI SHAH, MD. Source: openpaymentsdata.cms.gov.

Total received

$168

Largest payer

THD America, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

24
Total Claims
$25K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
38
Total Day Supply
981
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
2.21

Gastroenterology Physician Overview

How SHIVANI SHAH, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

SHIVANI SHAH, MD's 24 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as SHAH.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHIVANI SHAH, MD's specialty?
SHIVANI SHAH, MD specializes in Gastroenterology Physician and practices in ATLANTA, Georgia. Credentials: MD.
How much does SHIVANI SHAH, MD prescribe under Medicare Part D?
In 2023, SHIVANI SHAH, MD wrote 24 Medicare Part D claims totaling $25K in drug costs for 15 beneficiaries.
Where is SHIVANI SHAH, MD located?
SHIVANI SHAH, MD is located at 1968 PEACHTREE RD NW, ATLANTA, GA, 30309. Phone: (404) 605-4600.
What is SHIVANI SHAH, MD's NPI number?
SHIVANI SHAH, MD's National Provider Identifier (NPI) is 1356878896, issued on 05/15/2017.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does SHIVANI SHAH, MD accept Medicare?
SHIVANI SHAH, MD appears in CMS Medicare data with 24 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHIVANI SHAH, MD's credentials?
SHIVANI SHAH, MD's NPI is 1356878896 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology