Active NPI
Keerthi Reddy Padooru, MD
- Hospitalist Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 86441
- Practice address
- 3805 Covington Hwy
Decatur, GA 30032-2643 - Phone
- (404) 383-1300
- NPI assigned
- Jun 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 86441 | GA | |
| Hospitalist Physician | 208M00000X | 86441 | GA | Primary |
Addresses
Primary practice location
3805 Covington Hwy
Decatur, GA 30032-2643
Mailing address
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7038
Other practice location 1
6325 Hospital Pkwy
Johns Creek, GA 30097-5775
Phone (678) 474-7038
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028003075 | GA | Practitioner - Hospitalist | 9436457553 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86441 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Primary Care Professional Services, LLC | Current | Accepting new patients | |
| Northside Primary Care Professional Services,LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| PMR Georgia Holding, LLC | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
1556 Park Hill Dr
Gainesville, GA 30501
Phone (678) 400-7001
Interoperability endpoints
- kpadooru302523@direct.emory.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
GA
-
- Urgent Care Clinic/Center
- Dawsonville, GA
- NPI 1215369715
-
- Non-Pharmacy Dispensing Site
- Decatur, GA
- NPI 1508646779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1255713616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 HOSPITAL PKWY",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300975775",
"telephone_number": "678-474-7038",
"fax_number": "678-474-7033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 COVINGTON HWY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300322643",
"telephone_number": "404-383-1300"
}
],
"practiceLocations": [
{
"address_1": "6325 Hospital Pkwy",
"address_purpose": "LOCATION",
"city": "Johns Creek",
"state": "GA",
"postal_code": "300975775",
"country_code": "US",
"telephone_number": "678-474-7038",
"fax_number": "678-474-7033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADOORU",
"first_name": "KEERTHI",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "86441",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "86441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.