Individual provider Active NPI

Kushan Radadia, MD

  • Urology Physician
  • Roswell, GA
National Provider Identifier
1275949992
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
84991 Issued in GA
Practice address
11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956
Phone
(678) 839-9973
Fax
(470) 427-2013
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 84991 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900

Other practice location 1

3075 Ronald Reagan Blvd Ste 501
Cumming, GA 30041-6052
Phone (678) 344-8900

Other identifiers 1

IdentifierTypeStateIssuer
84991OtherGAGA MEDICAL LICENSE

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
I20200828001874 GA Practitioner - Urology 1355670977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology of Ga-East, PCGroup PAC ID 1658725668, 17 clinicians

Practice addresses (Care Compare)

1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84991GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute of Georgia, PC Urology CurrentSince Oct 1, 2020 Accepting new patients
Advanced Urology of Ga-East, PC Urology CurrentSince Oct 1, 2024 Accepting new patients
Advanced Urology Institute of Georgia Urology CurrentSince Oct 1, 2020 Accepting new patients
Washington University Physicians in Illinois, Inc PastSince Jul 25, 2019 Accepting new patients
Advanced Urology Institute of Georgia PC Urology Past Accepting new patients
Sandy Springs Center for Urologic Surgery LLC Past Accepting new patients
Rutgers-Rwjuh Past Accepting new patients

Locations

2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654

2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000

1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806

2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162

2711 Irvin Way
Ste 102
Decatur, GA 30030

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956

10730 Medlock Bridge Rd
Ste 100
Johns Creek, GA 30097

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

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

1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

1100 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 255-9096

1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1551 Janmar Rd
Snellville, GA 30078

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

Organizations & group practices 7

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 5

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1275949992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-691-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 700",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764956",
            "telephone_number": "678-839-9973",
            "fax_number": "470-427-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 Ronald Reagan Blvd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300416052",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADADIA",
        "first_name": "KUSHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "84991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "84991",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.