Individual provider Active NPI

Pradeep Kumar Sinha, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1144203233
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
044104 Issued in GA
Practice address
5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-1699
Phone
(404) 257-1589
Fax
(404) 303-1950
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 44104 GA
Otolaryngology Physician 207Y00000X 044104 GA Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-1699

Mailing address

5670 Peachtree Dunwoody Rd NE
Suite 1280
Atlanta, GA 30342-1699
Phone (404) 257-1589

Other identifiers 1

IdentifierTypeStateIssuer
000778522BMedicaidGA

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
I20060328000504 GA Practitioner - Otolaryngology 7719968098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians
Atlanta Institute for ENT PCGroup PAC ID 8224073572, 6 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry NE
Atlanta, GA 30342-1606

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

5670 Peachtree Dunwoody Rd
Suite 1280
Atlanta, GA 30342-4792
Phone (404) 257-1589

5730 Glenridge Dr
Suite T200
Sandy Springs, GA 30328-5873
Phone (404) 256-5428

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44104GAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Solutions Center LLC CurrentSince Aug 1, 2004 Accepting new patients
Atlanta Institute for ENT PC Otolaryngology CurrentSince Apr 18, 2000 Accepting new patients
Plastic Head and Neck Surgery Institute CurrentSince Mar 29, 2016 Accepting new patients
Northside Surgical Professional Services LLC CurrentSince Oct 1, 2012 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C465
Alpharetta, GA 30005
Phone (678) 888-4460

5730 Glenridge Dr
Ste T150
Sandy Springs, GA 30328
Phone (404) 256-5428

5730 Glenridge Dr
Ste T200
Sandy Springs, GA 30328
Phone (404) 256-5428

5670 Peachtree Dunwoody Rd
Ste 1280
Sandy Springs, GA 30342
Phone (404) 257-1589

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Interoperability endpoints

  • Direct secure messaging: pradeepsinha@aientpc.allscriptsdirect.net
  • Direct secure messaging: psinha3458@choa.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1144203233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1280",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-257-1589",
            "fax_number": "404-303-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINHA",
        "first_name": "PRADEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "GA",
            "license": "44104",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "044104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000778522B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.