Individual provider Active NPI

Vosudesh K Pai

  • Critical Care Medicine (Internal Medicine) Physician
  • Lawrenceville, GA
National Provider Identifier
1164530051
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
65983 Issued in GA
Practice address
631 Professional Dr
Suite # 350
Lawrenceville, GA 30046-3367
Phone
(770) 995-0630
Fax
(678) 942-5980
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 065983 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 65983 GA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 65983 GA Primary

Addresses

Primary practice location

631 Professional Dr
Suite # 350
Lawrenceville, GA 30046-3367

Mailing address

631 Professional Dr
Suite # 350
Lawrenceville, GA 30046-3367
Phone (770) 995-0630

Other identifiers 3

IdentifierTypeStateIssuer
1016209610001MedicaidPA
P00953008OtherNJR R MCR
0164615MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vosudesh.paimd.p2@direct.gmg.nextgenshare.com Direct

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
I20120611000579 GA Practitioner - Pulmonary Disease 3779504154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Pulmonary GroupGroup PAC ID 1153317615, 17 clinicians

Practice addresses (Care Compare)

631 Professional Dr
Suite 350
Lawrenceville, GA 30046-3370
Phone 7709950630135

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
89.08 of 100Reported as individual
Quality
81.9
Promoting interoperability
100
Improvement activities
40
Cost
65.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065983GAMDPulmonary Disease Physician
65983GAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Pulmonary Group Critical Care Medicine CurrentSince Apr 17, 2012 Accepting new patients
Graduate Pulmonary & Sleep Associates, PC Critical Care Medicine Past Accepting new patients

Locations

2108 Teron Trce
Ste 100A
Dacula, GA 30019
Phone (770) 814-2223

3855 Pleasant Hill Rd
Ste 180
Duluth, GA 30096
Phone 7709950630 ext. 128

631 Professional Dr
Ste 350
Lawrenceville, GA 30046
Phone (770) 995-0630

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1600 Medical Way
Ste 250
Snellville, GA 30078
Phone (770) 979-8080

3890 Johns Creek Pkwy
Ste 240
Suwanee, GA 30024
Phone (404) 994-4561

Interoperability endpoints

  • Direct secure messaging: vosudesh.pai@gwinnettlung.gadirect.net
  • Direct secure messaging: vosudesh.pai.1@14769.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1164530051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE # 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0630",
            "fax_number": "678-942-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE # 350",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0630",
            "fax_number": "678-942-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "VOSUDESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "065983",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "65983",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "65983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016209610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R R MCR",
            "identifier": "P00953008",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164615",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vosudesh.paimd.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "631 Professional Dr",
            "address_2": "Suite # 350",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300463367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.