Individual provider Active NPI

Varun Pattisapu, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
National Provider Identifier
1053767319
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
100161 Issued in GA
Practice address
275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711
Phone
(404) 605-2800
NPI assigned
May 5, 2016
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 100161 GA Primary
General Practice Physician 208D00000X A155347 CA

Addresses

Primary practice location

275 Collier Rd NW Ste 500
Atlanta, GA 30309-1711

Mailing address

8700 Beverly Blvd #5512
Los Angeles, CA 90048

Other practice location 1

8700 Beverly Blvd #5512
Los Angeles, CA 90048
Phone (847) 915-1837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200618000659 CA Practitioner - Internal Medicine 0345662433 Reassigns benefits to 2 organizations
I20240627003610 GA Practitioner - Cardiovascular Disease (Cardiology) 0345662433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

Hospital & facility affiliations

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
A155347CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansal Inc CurrentSince Jun 1, 2020 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Aug 5, 2024 Accepting new patients
Cogent Healthcare of Washington, PC CurrentSince Jan 1, 2021 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Nov 3, 2020 Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease Past Accepting new patients
Platinumcare la Past Accepting new patients

Locations

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
#5512
West Hollywood, CA 90048
Phone (310) 423-5161

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1053767319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD #5512",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091711",
            "telephone_number": "404-605-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd #5512",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90048",
            "country_code": "US",
            "telephone_number": "847-915-1837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTISAPU",
        "first_name": "VARUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "100161",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A155347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.