Shivam Desai, MD - Medicare Family Practice in Douglasville, GA

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Shivam Desai, MD is a medicare enrolled "Family Medicine" physician in Douglasville, Georgia. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. His current practice location is 4904 Timber Ridge Dr Ste 102, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 401-4597.

Shivam Desai is licensed to practice in Georgia (license number 83654) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528591716.

Contact Information

Shivam Desai, MD
4904 Timber Ridge Dr Ste 102,
Douglasville, GA 30135-1831
(678) 401-4597
Not Available

Map and Direction




Physician's Profile

Full NameShivam Desai
GenderMale
SpecialityFamily Practice
Experience8 Years
Location4904 Timber Ridge Dr Ste 102, Douglasville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shivam Desai graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1528591716
  • Provider Enumeration Date: 04/05/2017
  • Last Update Date: 03/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2961776067
  • Enrollment ID: I20200418000278

Medical Identifiers

Medical identifiers for Shivam Desai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528591716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 83654 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Suncrest Home HealthRiverdale, GAHome health agency
Wellstar Douglas HospitalDouglasville, GAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shivam Desai allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameErx Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760823082
PECOS PAC ID: 9335037571
Enrollment ID: O20130930000326
Entity NameMuscogee Hospitalist Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639681851
PECOS PAC ID: 8921368564
Enrollment ID: O20180130003094
Entity NameBenning Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215442173
PECOS PAC ID: 5698038479
Enrollment ID: O20180409000613
Entity NameHouston Hospitalist Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962040147
PECOS PAC ID: 2769813906
Enrollment ID: O20200504000786
Entity NameWest Atlanta Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629724752
PECOS PAC ID: 6507253465
Enrollment ID: O20220422000839

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shivam Desai is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shivam Desai, MD
4650 Smokestone Dr,
Douglasville, GA 30135-4989

Ph: (678) 521-0935		Shivam Desai, MD
4904 Timber Ridge Dr Ste 102,
Douglasville, GA 30135-1831

Ph: (678) 401-4597

Reviews and Comments


Family Medicine Doctors in Douglasville, GA

Dr. Kehinde Opeoluwa Idowu, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8954 Hospital Dr, Douglasville, GA 30134
Phone: 678-838-2585    Fax: 678-838-2587
Dr. Veeni S Kumar, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3327 Highway 5, Douglasville, GA 30135
Phone: 770-577-7030    Fax: 770-577-6844
Dr. Dingane Baruti, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6842 Douglas Blvd Ste K, Douglasville, GA 30135
Phone: 404-937-3508    
Ms. Valencia R Burruss, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134
Phone: 678-715-2993    Fax: 678-715-2827
Mrs. Ronnette J Belton, NP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6842 Douglas Blvd, Douglasville, GA 30135
Phone: 313-400-9869    
Chinomnso Ekeke Onyekaba, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8820 Hospital Dr, Douglasville, GA 30134
Phone: 770-947-3000    Fax: 770-947-3012
Vance W Boddy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6084 Professional Pkwy Ste C, Douglasville, GA 30134
Phone: 770-942-1440    Fax: 770-942-2929

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.