Kirti Mahendra Kandalkar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

062877 Issued in GA

Practice address

2201 Mt Zion Pkwy
Morrow, GA 30260

Phone

(404) 785-8739

NPI assigned

Sep 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1659366649
  Medicare reassignment NPD

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1043460462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CALIBRE WOODS DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293934",
            "telephone_number": "845-699-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MT ZION PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "30260",
            "telephone_number": "404-785-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALKAR",
        "first_name": "KIRTI",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "062877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly K Jones
• Natalie A Jones, R.PH.
• Joon Y. Kim, MD, PC
• Chyna Shalin Jordan
• Wendy Kaap, PAAA
• Raoof Kazemi, PAAA
• KCP Enterprises
• Damien Diablo Kellam, M.A., LPC, PHD ABD
• Scott A. Kelly, M.D.
• Shelitha Kent, RBT

• Pediatrics Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.