Individual provider Active NPI

Dwarakinath Harish, M.D.

  • Nephrology Physician
  • Cumming, GA
National Provider Identifier
1194745786
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
051229 Issued in GA
Practice address
1445 Haw Creek Cir
504
Cumming, GA 30041-6569
Phone
(678) 455-7748
Fax
(678) 455-7751
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 051229 GA Primary

Addresses

Primary practice location

1445 Haw Creek Cir
504
Cumming, GA 30041-6569

Mailing address

1445 Haw Creek Circle
504
Cumming, GA 30041
Phone (678) 455-7748

Other identifiers 1

IdentifierTypeStateIssuer
000959406AMedicaidGA

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
I20040604000488 GA Practitioner - NephrologyPractitioner - Internal Medicine 4082696869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1445 Haw Creek Cir
Suite 504
Cumming, GA 30041-6572
Phone (678) 455-7748

Hospital & facility affiliations

  • DaVita Mountain Park Dialysis Dialysis facility, Stone Mountain, GA, CCN 112777
  • Usrc Cumming Dialysis Dialysis facility, Cumming, GA, CCN 112839
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Nephrology,P.C. Nephrology CurrentSince Jan 1, 2004 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1445 Haw Creek Cir
Ste 504
Cumming, GA 30041
Phone (678) 455-7748

1090 Duluth Hwy
Ste 900
Lawrenceville, GA 30043
Phone (678) 455-7749

Interoperability endpoints

  • Direct secure messaging: dwarakinath.harish@direct.davitaphysiciansolutions.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 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1194745786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 HAW CREEK CIRCLE",
            "address_2": "504",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "678-455-7748",
            "fax_number": "678-455-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HAW CREEK CIR",
            "address_2": "504",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416569",
            "telephone_number": "678-455-7748",
            "fax_number": "678-455-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARISH",
        "first_name": "DWARAKINATH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "051229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000959406A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.