NPIMap

Individual provider Active NPI

Karuna Kusan, M.D.

  • Infectious Disease Physician
  • Lawrenceville, GA
National Provider Identifier
1013921329
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
056582 Issued in GA
Practice address
1960 Riverside Pkwy
Suite 101
Lawrenceville, GA 30043-5945
Phone
(770) 995-0466
Fax
(770) 995-0472
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 056582 GA Primary

Addresses

Primary practice location

1960 Riverside Pkwy
Suite 101
Lawrenceville, GA 30043-5945

Mailing address

1960 Riverside Pkwy
Suite 101
Lawrenceville, GA 30043-5945
Phone (770) 995-0466

Other identifiers 1

IdentifierTypeStateIssuer
356333517BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000634 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 6305877556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Consultants PCGroup PAC ID 4587550298, 10 clinicians

Practice addresses (Care Compare)

5400 Laurel Springs Pkwy
Suite 1404
Suwanee, GA 30024-6098
Phone (678) 347-2153

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
96.87 of 100Reported as group
Quality
84.34
Improvement activities
40
Cost
83.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants, PC Infectious Disease CurrentSince May 1, 2014 Accepting new patients
Idc Medical LLC Infectious Disease Past Accepting new patients
Northeast Infectious Diseases Inc PastSince Sep 10, 2007 Accepting new patients

Locations

759 Old Norcross Rd
Lawrenceville, GA 30046
Phone (404) 300-2379

1960 Riverside Pkwy
Ste 101
Lawrenceville, GA 30043
Phone (770) 237-3000

6916 McGinnis Ferry Rd
#100
Suwanee, GA 30024
Phone (678) 347-2100

5400 Laurel Springs Pkwy
Ste 1404
Suwanee, GA 30024
Phone (678) 347-2153

1370 Montreal Rd
Ste 130
Tucker, GA 30084
Phone (678) 990-1383

Networks

  • FL HMO

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAABD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAABD/Endpoint/HIAABD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1013921329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-995-0466",
            "fax_number": "770-995-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 RIVERSIDE PKWY",
            "address_2": "SUITE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435945",
            "telephone_number": "770-995-0466",
            "fax_number": "770-995-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSAN",
        "first_name": "KARUNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "056582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356333517B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.