Individual provider Active NPI

Rajiv D Pandya, MD

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1255441747
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
033254 Issued in GA
Practice address
1035 Southcrest Dr
Suite 100
Stockbridge, GA 30281-6118
Phone
(770) 389-9005
Fax
(770) 389-5251
NPI assigned
Aug 30, 2006
Last updated
Jun 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 033254 GA Primary

Addresses

Primary practice location

1035 Southcrest Dr
Suite 100
Stockbridge, GA 30281-6118

Mailing address

1035 Southcrest Dr
Suite 100
Stockbridge, GA 30281-6118
Phone (770) 389-9005

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
I20101028000375 GA Practitioner - Orthopedic Surgery 0648289983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta Knee and Shoulder Clinic PCGroup PAC ID 0840285409, 6 clinicians

Practice addresses (Care Compare)

1035 Southcrest Dr
Stockbridge, GA 30281-6114
Phone (770) 389-9005

3200 Downwood Cir NW
Suite 410
Atlanta, GA 30327-1624
Phone (404) 352-4779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.34 of 100Reported as individual
Quality
52.94
Improvement activities
40
Cost
77.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)48
Upper limb (arm) arthroscopy (minimally invasive joint repair)50
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033254GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Knee and Shoulder Clinic PC CurrentSince Aug 1, 1992 Accepting new patients
West Paces Surgery Center LLC Current Accepting new patients

Locations

3200 Downwood Cir NW
Ste 400
Atlanta, GA 30327
Phone (404) 351-0500

3200 Downwood Cir NW
Ste 410
Atlanta, GA 30327
Phone (404) 352-4779

1035 Southcrest Dr
Ste 100
Stockbridge, GA 30281
Phone (770) 389-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10056/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kate.mcdonald.1@10056.direct.athenahealth.com
  • Direct secure messaging: rajiv.pandya.1@10056.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1255441747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816118",
            "telephone_number": "770-389-9005",
            "fax_number": "770-389-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816118",
            "telephone_number": "770-389-9005",
            "fax_number": "770-389-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "RAJIV",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "033254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.