Individual provider Active NPI

Sipra Rathi Laddha, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1235420571
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
069216 Issued in GA
Practice address
2004 Ridgewood Drive
1
Atlanta, GA 30322
Phone
(404) 727-5157
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 069216 GA
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 069216 GA Primary

Addresses

Primary practice location

2004 Ridgewood Drive
1
Atlanta, GA 30322

Mailing address

2004 Ridgewood Drive
Atlanta, GA 30322
Phone (404) 727-5157

Other names 1

  • Sipra Rathi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AK, FL, NC, NJ, TX, MD, DC, IL, PA, VA11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20210616002767 GA Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20210629002969 AK Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20220211000050 FL Practitioner - Psychiatry 4082014717 Reassigns benefits to 1 organization
I20230802003851 NC Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20230818002763 NJ Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20231116001754 TX Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20231206000005 MD Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20231206001337 DC Practitioner - Neuropsychiatry 4082014717 Reassigns benefits to 1 organization
I20240105003293 IL Practitioner - PsychiatryPractitioner - Nephrology 4082014717 Reassigns benefits to 1 organization
I20240131000410 PA Practitioner - PsychiatryPractitioner - Neurology 4082014717 Reassigns benefits to 1 organization
I20240409001880 VA Practitioner - Psychiatry 4082014717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Nephrology
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriving LaneGroup PAC ID 1355741083, 24 clinicians

Practice addresses (Care Compare)

Chicago, IL 60605
Phone (347) 830-7720

2515 Banksville Rd
Suite 1091
Pittsburg, PA 15213-2809
Phone (347) 830-7720

2801 Buford Hwy NE
Suite T10
Atlanta, GA 30329-2149
Phone (347) 830-7720

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (347) 830-7720

37 Easton Ave
Suite 200
New Brunswick, NJ 08901-1830
Phone (347) 830-7720

4801 Glenwood Ave
Suite 200
Raleigh, NC 27612-3857
Phone (347) 830-7720

4933 Tamiami TRL N
Suite 200
Naples, FL 34103-3028
Phone (347) 830-7720

5835 York Rd
Suite 1167
Baltimore, MD 21212-3612
Phone (347) 830-7720

712 H St NE
Suite 2619
Washington, DC 20002-3627
Phone (347) 830-7720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069216GAMDPsychiatry Physician

Interoperability endpoints

  • Direct secure messaging: thrivinglanellc.siprarladdha@149897.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JDHDDD/Endpoint/JDHDDD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1235420571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 RIDGEWOOD DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-727-5157",
            "fax_number": "404-727-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 RIDGEWOOD DRIVE",
            "address_2": "1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-727-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADDHA",
        "first_name": "SIPRA",
        "middle_name": "RATHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "069216",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "069216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIPRA",
            "last_name": "RATHI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.