SHAYAN AHMADI PAAA
NPI 1902181738
Anesthesiologist Assistant in Atlanta, GA


Quality Rating: 93.03 out of 100 score

NPI Status: Active since October 12, 2011

Contact Information

1000 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (770) 645-9181

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  • Individual
  • Male
  • Years of Experience 15
  • Anesthesiologist Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About SHAYAN AHMADI

This page provides the complete NPI Profile along with additional information for Shayan Ahmadi, a provider established in Atlanta, Georgia with a medical specialization in Anesthesiologist Assistant and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1902181738 assigned on October 2011. The practitioner's primary taxonomy code is 367H00000X with license number 006229 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1902181738
Provider Name
SHAYAN AHMADI PAAA
Gender
Male
Entity Type
Individual
Location Address
1000 JOHNSON FERRY RD NE ATLANTA, GA 30342
Location Phone
(770) 645-9181
Mailing Address
3155 N POINT PKWY STE F100 ALPHARETTA, GA 30005
Mailing Phone
(770) 645-9181
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
10-12-2011
Last Update Date
12-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
006229
License State
GA
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | MercyOne - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple PCP Saver | MercyOne - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Shayan Ahmadi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3870766983

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120405000177

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.03, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 93.03 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 78.25

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Pre-operative OSA assessment 48% 23
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordinationYesN/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shayan Ahmadi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER677 CHURCH STREET
MARIETTA, GA 30060
(770) 793-5000Acute Care Hospitals

Reviews for SHAYAN AHMADI PAAA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902181738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
290228276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 8 + 2 + 7 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1902181738 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003814443MS. PATRICIA BOATRIGHT GILLEY RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 851-8908
1184624587DR. MEGAN REBEKAH FREEMAN PHARMD
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL DEPARTMENT OF PHARMACY
ATLANTA, GA 30342
(404) 459-1093
1861492282MRS. JAELYN L BINGHAM RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 303-3519
1649270042MRS. BARBARA LEE MARCH RN
Individual
Registered Nurse (Infusion Therapy)1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL
ATLANTA, GA 30342
(404) 851-8910
1255331617MS. PAMELA R PRIVETTE RPH,MS
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 851-8123
1841290160MR. ERIC DEE FUNDERBURG RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 851-6562
1548260987MS. CHERYL LYNN VANN RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOPSITAL - PHARMACY
ATLANTA, GA 30342
(404) 459-1683
1881695443MR. GREG STANLEY LEVIN RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL DEPT. OF PHARMACY
ATLANTA, GA 30342
(404) 845-5627
1861493025 HENRY MICHAEL TATE RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL DEPARTMENT OF PHARMACY
ATLANTA, GA 30342
(404) 845-5989
1902807472MR. KENNETH MICHAEL HARBIN RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 459-1748
1508867920DR. DAMON GERARD REDDING PHARM.D.
Individual
Pharmacist (Pharmacotherapy)1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-6900
1396746608DR. MAMIE WAI-HAN PANG PHARMD
Individual
Pharmacist (Pharmacotherapy)1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-6900
1770584237MRS. FLORENCE KHOURI GOODWYN PHARM D
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 851-8902
1881696573DR. LYNNE STARLING BEACH PHARM.D.
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-8902
1235131921DR. BRADLEY RAY SIKORSKI PHARM.D.
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-8902
1881696532DR. KELLY BRANDON PHARMD
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-8902
1548262058 TINA LOUISE WILSON
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-6265
1306838313MR. CHRIS PETER TRIPODIS RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE NORTHSIDE HOSPITAL PHARMACY
ATLANTA, GA 30342
(404) 851-8902
1770575086MS. PATRICIA L MCMILLEN RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-8902
1629061809MRS. CAROLYN CAPPELLI SCHWERZLER RPH
Individual
Pharmacist1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342
(404) 851-8902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902181738, enumerated in the NPI registry as an "individual" on October 12, 2011

The provider is located at 1000 Johnson Ferry Rd Ne Atlanta, Ga 30342 and the phone number is (770) 645-9181

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 15 years of experience.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Oscar Health Plan,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The practitioner is affiliated to the following hospital(s): WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 12, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.