Individual provider Active NPI

Kartikeya P. Patel, M.D.

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1215039029
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43258 Issued in GA
Practice address
601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311
Phone
(770) 963-2474
Fax
(770) 963-2476
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43258 GA Primary

Addresses

Primary practice location

601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311

Mailing address

601 Old Norcross Rd
Ste a
Lawrenceville, GA 30046-4311
Phone (770) 963-2474

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kartikeya.patelmd.p2@direct.gmg.nextgenshare.com Direct
Direct Messaging Address Kartikeya.Patel@northsidehospital.cernerdirect.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
I20100817000138 GA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3870627516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians

Practice addresses (Care Compare)

2850 Hog Mountain Rd
Suite 101
Dacula, GA 30019-5935
Phone (770) 614-7170

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43258GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gwinnett Physician Group, LLC Internal Medicine CurrentSince May 20, 2013 Accepting new patients

Locations

2850 Hog Mountain Rd
Ste 101
Dacula, GA 30019
Phone (404) 446-1940

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

601 Old Norcross Rd
Ste A
Lawrenceville, GA 30046
Phone 7702843150458

Interoperability endpoints

  • Direct secure messaging: kartikeya.patel@northsidehospital.cernerdirect.com

Organizations & group practices 1

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1215039029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD NORCROSS RD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464311",
            "telephone_number": "770-963-2474",
            "fax_number": "770-963-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD NORCROSS RD",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464311",
            "telephone_number": "770-963-2474",
            "fax_number": "770-963-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARTIKEYA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "43258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kartikeya.patelmd.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "601 Old Norcross Rd",
            "address_2": "Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300464311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kartikeya.Patel@northsidehospital.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "601 Old Norcross Rd",
            "address_2": "Ste A",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300464311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.