Active NPI
Atanu Biswas, MD
- Plastic Surgery Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 95101
- Practice address
- 823 Campbell Hill St NW
Marietta, GA 30060-1144 - Phone
- (770) 425-0118
- NPI assigned
- Mar 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 46446 | AZ | |
| Plastic Surgery Physician | 208200000X | 95101 | GA | Primary |
Addresses
Primary practice location
823 Campbell Hill St NW
Marietta, GA 30060-1144
Mailing address
823 Campbell Hill St NW
Marietta, GA 30060-1144
Phone (770) 425-0118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982087441 | Other | GROUP NPI | |
| 13588740 | Other | CAQH |
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
- Plastic and Reconstructive Surgery
- Education
- East Tennessee State University Quillen College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
823 Campbell Hill St NW
Marietta, GA 30060-1144
Phone (770) 425-0118
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95101 | GA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Plastic Surgery | Plastic and Reconstructive Surgery | Current | Accepting new patients |
| Marietta Plastic Surgery | Past | Accepting new patients |
Locations
823 Campbell Hill St NW
Marietta, GA 30060
Phone (678) 203-6711
149 Towne Lake Pkwy
Ste 104
Woodstock, GA 30188
Phone (678) 494-2380
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 and National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Marietta, GA
- NPI 1316165723
-
- Ambulatory Surgical Clinic/Center
- Marietta, GA
- NPI 1417116567
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1275705188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 CAMPBELL HILL ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601144",
"telephone_number": "770-425-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 CAMPBELL HILL ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601144",
"telephone_number": "770-425-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISWAS",
"first_name": "ATANU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "46446",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "95101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1982087441",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13588740",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.