Individual provider Active NPI

Elaine Grace Khatod, M.D.

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1073705596
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
059805 Issued in GA
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

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX2 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
I20080212000641 GA Practitioner - Diagnostic Radiology 6507949666 Reassigns benefits to 10 organizations
I20160720002500 TX Practitioner - Diagnostic Radiology 6507949666 Reassigns benefits to 1 organization

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
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

790 Church Nest
Suite 400
Marietta, GA 30060-8957
Phone (678) 581-3830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
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

LicenseStateTypeSpecialty
059805GAMDNeuroradiology Physician
MD.201809LAMDDiagnostic Radiology Physician
MD201809LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Mar 30, 2021 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Mar 30, 2021 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Jan 15, 2018 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 4, 2018 Accepting new patients
Tuba City Regional Health Care Corporation Current Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Sep 29, 2017 Accepting new patients
Pontchartrain Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 15, 2018 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Feb 4, 2018 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Pro Radiology, LLC CurrentSince May 1, 2025 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 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 PastSince May 28, 2023 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/effingh-036d928f
  • Direct secure messaging: 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.

View all 19

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.