Individual provider Active NPI

Mehulkumar Joshi, D.O

  • Vascular Surgery Physician
  • Johns Creek, GA
National Provider Identifier
1124467709
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
86076 Issued in GA
Practice address
6300 Hospital Pkwy Ste 375
Johns Creek, GA 30097-2461
Phone
(770) 771-5260
NPI assigned
Jun 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 86076 GA Primary

Addresses

Primary practice location

6300 Hospital Pkwy Ste 375
Johns Creek, GA 30097-2461

Mailing address

6300 Hospital Pkwy Ste 375
Johns Creek, GA 30097-2461
Phone (770) 771-5260

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804003805 GA Practitioner - Vascular Surgery 0941537955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Vascular Clinic PCGroup PAC ID 9537396312, 4 clinicians

Practice addresses (Care Compare)

2685 Peachtree Pkwy
Suite 320
Suwanee, GA 30024-1048
Phone (770) 771-5260

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198
  • Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24
Leg revascularization (restoring blood flow)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
86076GAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Vascular Clinic, PC Vascular Surgery CurrentSince Aug 1, 2020 Accepting new patients
Georgia Vascular & Vein Center CurrentSince Dec 19, 2020 Accepting new patients
North Atlanta Women'S Care, PC Past Accepting new patients

Locations

4040 Old Milton Pkwy
Ste 200
Alpharetta, GA 30005
Phone (770) 771-5270

1080 Sanders Rd
Ste 200
Cumming, GA 30041
Phone (770) 771-5270

6300 Hospital Pkwy
Ste 375
Johns Creek, GA 30097
Phone (770) 771-5260

771 Old Norcross Rd
Ste 300
Lawrenceville, GA 30046
Phone (770) 338-8362

2685 Peachtree Pkwy
Ste 320
Suwanee, GA 30024
Phone (770) 771-5260

2685 Peachtree Pkwy
Suwanee, GA 30024
Phone (770) 771-5260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAA/Endpoint/EHIJAA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1124467709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 375",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972461",
            "telephone_number": "770-771-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 375",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972461",
            "telephone_number": "770-771-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "MEHULKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "86076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.