Active NPI
Kushan Radadia, MD
- Urology Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 84991
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84991 | Other | GA | GA 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
Enrollment records 1
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
Practice addresses (Care Compare)
1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900
Hospital & facility affiliations
- Northside Hospital Forsyth
- Northside Hospital
- Piedmont Eastside Medical Center
- Piedmont Rockdale Hospital
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 69.85
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.7
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84991 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute of Georgia, PC | Urology | Current | Accepting new patients |
| Advanced Urology of Ga-East, PC | Urology | Current | Accepting new patients |
| Advanced Urology Institute of Georgia | Urology | Current | Accepting new patients |
| Washington University Physicians in Illinois, Inc | Past | 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.
-
- Urology Physician
- Snellville, GA
- NPI 1437840154
-
- Urology Physician
- Snellville, GA
- NPI 1073896510
-
- Urology Physician
- Dallas, GA
- NPI 1811846348
-
- Urology Physician
- Conyers, GA
- NPI 1790411585
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1891286860
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1528473303
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1457203135
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.