Individual provider Active NPI

Atanu Biswas, MD

  • Plastic Surgery Physician
  • Marietta, GA
National Provider Identifier
1275705188
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
95101 Issued in GA
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

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982087441OtherGROUP NPI
13588740OtherCAQH

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
I20231130002957 GA Practitioner - Plastic and Reconstructive Surgery 2264668649 Reassigns benefits to 1 organization

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 Hospital, Marietta, GA, CCN 110035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95101GAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Plastic Surgery Plastic and Reconstructive Surgery CurrentSince Jan 2, 2024 Accepting new patients
Marietta Plastic Surgery PastSince Dec 10, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.