Active NPI
Robert L Kushner Jr., MD
- Diagnostic Radiology Physician
- Atlanta, GA
National Provider Identifier
1225008055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 9862
- Practice address
- 511 Valley Rd NW
Atlanta, GA 30305-1030 - Phone
- (404) 262-1033
- Fax
- (404) 239-0061
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9862 | GA | Primary |
Addresses
Primary practice location
511 Valley Rd NW
Atlanta, GA 30305-1030
Mailing address
511 Valley Rd NW
Atlanta, GA 30305-1030
Phone (404) 262-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009862 | GA | MD | Professional Counselor |
| 9862 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Readings Professional Services, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Pin Point Radiology Practice Group, PA | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Tennessee PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
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-
- Diagnostic Radiology Physician
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225324800000",
"number": "1225008055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 VALLEY RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051030",
"telephone_number": "404-262-1033",
"fax_number": "404-239-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 VALLEY RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051030",
"telephone_number": "404-262-1033",
"fax_number": "404-239-0061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2008-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "9862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.