Active NPI
Praveen Rastogi, MD, FCCP, ABSM
- Sleep Specialist (PhD)
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Specialist (PhD)
- License
- 26176
- Practice address
- 915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011 - Phone
- (770) 996-6699
- Fax
- (770) 997-4790
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 26176 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 26176 | GA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 26176 | GA | |
| Sleep Specialist (PhD) | 173F00000X | 26176 | GA | Primary |
Addresses
Primary practice location
915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Mailing address
915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 996-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002866668A | Medicaid | GA |
Other names 1
- Praveen Rastogi
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | prastogi@psma.gwaydirect.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone 7709966699151
Hospital & facility affiliations
- Piedmont Henry Hospital
- Piedmont Fayette Hospital
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26176 | GA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary & Sleep Medicine Associates, LLP | Current | Accepting new patients |
Locations
132 Old Norton Rd
Ste 101
Fayetteville, GA 30215
Phone (770) 692-9501
6572 River Park Dr
Ste 101
Riverdale, GA 30274
Phone (678) 626-1833
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
915 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (770) 506-4350
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1123
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.
-
- Specialist
- Stockbridge, GA
- NPI 1720009244
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646352000000",
"number": "1265406375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815011",
"telephone_number": "770-996-6699",
"fax_number": "770-997-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815011",
"telephone_number": "770-996-6699",
"fax_number": "770-997-4790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTOGI",
"first_name": "PRAVEEN",
"credential": "MD, FCCP, ABSM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2022-03-04",
"certification_date": "2022-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "26176",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "26176",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "GA",
"license": "26176",
"primary": false
},
{
"code": "173F00000X",
"taxonomy_group": "",
"desc": "Sleep Specialist, PhD",
"state": "GA",
"license": "26176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002866668A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "prastogi@psma.gwaydirect.com",
"affiliation": "N",
"endpointDescription": "prastogi@psma.gwaydirect.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "915 Eagles Landing Pkwy",
"city": "Stockbridge",
"state": "GA",
"country_code": "US",
"postal_code": "302815011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PRAVEEN",
"last_name": "RASTOGI",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.