Individual provider Active NPI

Aman Mongia, M.D.

  • Infectious Disease Physician
  • Cartersville, GA
National Provider Identifier
1235101072
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
055510 Issued in GA
Practice address
100 Market Place Blvd
Suite 207
Cartersville, GA 30121-8718
Phone
(678) 721-6971
Fax
(678) 721-6974
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 055510 GA Primary

Addresses

Primary practice location

100 Market Place Blvd
Suite 207
Cartersville, GA 30121-8718

Mailing address

100 Market Place Blvd
Suite 207
Cartersville, GA 30121-8718
Phone (678) 721-6971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050413000622 GA Practitioner - Internal MedicinePractitioner - Infectious Disease 6507803392 Reassigns benefits to 1 organization
I20200622001698 MI Practitioner - Internal Medicine 6507803392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Infectious Diseases LLCGroup PAC ID 9436196227, 4 clinicians

Practice addresses (Care Compare)

16 Collins Dr
Cartersville, GA 30120-2486
Phone (678) 721-6971

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC CurrentSince Jun 1, 2020 Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

Interoperability endpoints

  • Direct secure messaging: aman.mongia.1@14743.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 11

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1235101072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARKET PLACE BLVD",
            "address_2": "SUITE 207",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218718",
            "telephone_number": "678-721-6971",
            "fax_number": "678-721-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET PLACE BLVD",
            "address_2": "SUITE 207",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218718",
            "telephone_number": "678-721-6971",
            "fax_number": "678-721-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIA",
        "first_name": "AMAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "055510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.