Active NPI
J. Mark Rheudasil, MD
- Vascular Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 026926
- Practice address
- 5673 Peachtree Dunwoody Rd NE
Suite 675
Atlanta, GA 30342-1731 - Phone
- (678) 843-5400
- Fax
- (678) 843-5449
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 026926 | GA | |
| Vascular Surgery Physician | 2086S0129X | 026926 | GA | Primary |
Addresses
Primary practice location
5673 Peachtree Dunwoody Rd NE
Suite 675
Atlanta, GA 30342-1731
Mailing address
1838 American Way
Lawrenceville, GA 30043-6611
Phone (770) 995-7622
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000635302 | Medicaid | GA | |
| 000635302Q | Medicaid | GA | |
| 000635302S | Medicaid | GA | |
| 000635302K | Medicaid | GA | |
| 000635302L | Medicaid | GA | |
| 000635302M | Medicaid | GA | |
| 000635302O | Medicaid | GA | |
| 000635302P | Medicaid | GA | |
| 000635302J | Medicaid | GA | |
| 000635302N | Medicaid | GA | |
| 000635302R | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Diagnostic Radiology | Current | Accepting new patients |
| St. Joseph'S Hospital | Past | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients | |
| Saint Josephs Hospital of Atlanta Inc | Past | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
79 Southside Church St
Ellijay, GA 30540
Phone 7062764741457
5673 Peachtree Dunwoody Rd
Ste 320
Sandy Springs, GA 30342
Phone (404) 855-5660
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
5669 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 252-8377
5669 Ptree Dunwoody Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 255-1161
5673 Peachtree Dunwoody Rd
Ste 675
Sandy Springs, GA 30342
Phone (678) 843-5400
Interoperability endpoints
- jrheudasil51807@direct.emory.org
Organizations & group practices 6
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.
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- Anesthesiology Physician
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- NPI 1407864168
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
-
- Critical Access Hospital
- Atlanta, GA
- NPI 1316158793
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1033184767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 AMERICAN WAY",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436611",
"telephone_number": "770-995-7622",
"fax_number": "770-995-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 675",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421731",
"telephone_number": "678-843-5400",
"fax_number": "678-843-5449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEUDASIL",
"first_name": "J.",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "026926",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "GA",
"license": "026926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302Q",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302S",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302O",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302P",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302J",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302N",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000635302R",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.