Active NPI
Elaine Grace Khatod, M.D.
- Diagnostic Radiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 059805
- Practice address
- 790 Church St NE Ste 400
Marietta, GA 30060-8957 - Phone
- (770) 405-2976
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 059805 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | MD.201809 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | MD201809 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 059805 | GA | Primary |
Addresses
Primary practice location
790 Church St NE Ste 400
Marietta, GA 30060-8957
Mailing address
PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976
Other practice location 1
4142 Randall Ct NW
Atlanta, GA 30327-3711
Phone (952) 595-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
790 Church Nest
Suite 400
Marietta, GA 30060-8957
Phone (678) 581-3830
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar North Fulton Medical Center
- Wellstar Douglas Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059805 | GA | MD | Neuroradiology Physician |
| MD.201809 | LA | MD | Diagnostic Radiology Physician |
| MD201809 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & B Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Quantum Radiology, PC | Diagnostic Radiology | Current | Accepting new patients |
| Synergy Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Red River Consultants, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Donalsonville Hospital Inc | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Pro Radiology, LLC | Current | Accepting new patients | |
| Synergy Radiology, LLC | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Past | Accepting new patients | |
| Metroamerican Radiology Consultants P a | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Georgia Radiology Imaging Consultants, LLC | Neuroradiology | Past | Accepting new patients |
Locations (25 of 88)
690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131
1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321
701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341
1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496
1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100
16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600
4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000
4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079
12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/effingh-036d928f
- ekhatod116133@uihcdirect.org
Organizations & group practices 19
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.
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1366495988
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
- Radiology Clinic/Center
- Atlanta, GA
- NPI 1164966461
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1699759183
GA
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
TX
-
- Family Medicine Physician
- Cameron, AZ
- NPI 1134382211
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1073705596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063157",
"telephone_number": "770-405-2976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608957",
"telephone_number": "770-405-2976"
}
],
"practiceLocations": [
{
"address_1": "4142 Randall Ct NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303273711",
"country_code": "US",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATOD",
"first_name": "ELAINE",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "GA",
"license": "059805",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.201809",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD201809",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "059805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.