Individual provider Active NPI

Meenakshi Hema Kakarala, MD

  • Internal Medicine Physician
  • Marietta, GA
National Provider Identifier
1033100797
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61974 Issued in GA
Practice address
790 Church St NE
Suite 250
Marietta, GA 30060-7282
Phone
(678) 797-8201
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME80724 FL
Internal Medicine Physician 207R00000X 61974 GA Primary

Addresses

Primary practice location

790 Church St NE
Suite 250
Marietta, GA 30060-7282

Mailing address

790 Church St NE
Suite 250
Marietta, GA 30060-7282
Phone (678) 797-8201

Other identifiers 3

IdentifierTypeStateIssuer
260861800MedicaidFL
2508903OtherAETNA HMO
3764898001OtherCIGNA

Other names 1

  • Meena Hema Kakarala Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000450 GA Practitioner - Internal Medicine 9032263637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mdvip Medical Group Ga-AtlGroup PAC ID 5597021386, 9 clinicians

Practice addresses (Care Compare)

1800 Howell Mill Rd NW
Atlanta, GA 30318-3188
Phone (404) 300-3494

790 Church St NE
Suite 500
Marietta, GA 30060-8957
Phone (770) 874-9739

Hospital & facility affiliations

  • Community Home Health, an Amedisys Company Home health agency, Woodstock, GA, CCN 117130
  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Enhabit Home Health Home health agency, Kennesaw, GA, CCN 117149
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME80724FLMDInternal Medicine Physician
61974GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdvip Medical Group Ga-Atl Internal Medicine CurrentSince Sep 30, 2023 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 650
Atlanta, GA 30318
Phone (404) 300-3494

790 Church St NE
Ste 500
Marietta, GA 30060
Phone (678) 686-5859

790 Church St NE
Ste 250
Marietta, GA 30060
Phone (678) 797-8200

29444 Network Pl
Chicago, IL 60673

Organizations & group practices 2

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 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1033100797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "SUITE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "678-797-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "SUITE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "678-797-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKARALA",
        "first_name": "MEENAKSHI",
        "middle_name": "HEMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME80724",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "61974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260861800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2508903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3764898001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEENA",
            "last_name": "KAKARALA",
            "middle_name": "HEMA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.