Individual provider Active NPI

Rupesh Kiritkumar Dave, M.D.

  • Pulmonary Disease Physician
  • Snellville, GA
National Provider Identifier
1255525663
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
065650 Issued in GA
Practice address
1800 Tree Lane Rd
Ste 200
Snellville, GA 30078-2016
Phone
(770) 979-0367
Fax
(770) 979-1830
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M7133 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 065650 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 065650 GA
Pulmonary Disease Physician 207RP1001X 065650 GA Primary

Addresses

Primary practice location

1800 Tree Lane Rd
Ste 200
Snellville, GA 30078-2016

Mailing address

1800 Tree Lane Rd
Ste 200
Snellville, GA 30078-2016
Phone (770) 979-0367

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rupesh.davemd.p2@direct.gmg.nextgenshare.com Direct
Direct Messaging Address rupesh.davemd.p2@direct.gmg.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 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
I20101004000366 OH Practitioner - Internal Medicine 3870629959 Reassigns benefits to 1 organization
I20110726000157 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3870629959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians
Gwinnett Physician Group, LLCGroup PAC ID 9133211139, 112 clinicians
Allen Intensivist Group LLCGroup PAC ID 4183000565, 17 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

1250 Jesse Jewell Pkwy SE
Suite 400
Gainesville, GA 30501-3865
Phone (770) 536-9864

2800 Buford Dr
Suite 200
Buford, GA 30519-5107
Phone (678) 344-3744

3500 McClure Bridge Rd
Duluth, GA 30096-3131
Phone (770) 476-3636

500 Medical Ctr Blvd
Suite 160
Lawrenceville, GA 30046-3331
Phone (770) 979-0367

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as group
Quality
71.9
Promoting interoperability
75
Improvement activities
40
Cost
76.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
065650GAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Allen Intensivist Group LLC Critical Care Medicine CurrentSince Nov 29, 2022 Accepting new patients
Northeast Georgia Diagnostic Associates and Clinic, LLC CurrentSince Sep 30, 2023 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 10, 2016 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 10, 2016 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
North Fulton Pulmonary Specialists, LLC Critical Care Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Hillcrest Physician Services Internal Medicine Past Accepting new patients
Northeast Georgia Diagnostic Clinic LLC Past Accepting new patients

Locations

1250 Jesse Jewell Pkwy SE
Ste 400
Gainesville, GA 30501
Phone (470) 228-7507

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

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

500 Medical Center Blvd
Ste 160
Lawrenceville, GA 30046
Phone (770) 979-0367

2500 Hospital Blvd
Ste 420
Roswell, GA 30076
Phone (770) 410-4366

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: rupesh.dave.p115@direct.tenet.nextgenshare.com
  • Direct secure messaging: rdave123283@directwellstar.org
  • Direct secure messaging: rupeshdave@negaidx.allscriptsdirect.net

Organizations & group practices 12

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 4

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1255525663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TREE LANE RD",
            "address_2": "STE 200",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-979-0367",
            "fax_number": "770-979-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TREE LANE RD",
            "address_2": "STE 200",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782016",
            "telephone_number": "770-979-0367",
            "fax_number": "770-979-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RUPESH",
        "middle_name": "KIRITKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M7133",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "065650",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "065650",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "065650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rupesh.davemd.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1800 Tree Lane Rd",
            "address_2": "Ste 200",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300782016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rupesh.davemd.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "1800 Tree Lane Rd",
            "address_2": "Ste 200",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300782016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.