Individual provider Active NPI

Mirza A Kajani, M.D.

  • Gastroenterology Physician
  • Griffin, GA
National Provider Identifier
1306975651
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31955 Issued in GA
Practice address
226 E College St
Suite B
Griffin, GA 30224-4348
Phone
(678) 987-1490
Fax
(678) 987-1491
NPI assigned
Mar 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 31955 GA Primary

Addresses

Primary practice location

226 E College St
Suite B
Griffin, GA 30224-4348

Mailing address

226 E College St
Suite B
Griffin, GA 30224-4348
Phone (678) 987-1490

Other identifiers 4

IdentifierTypeStateIssuer
300052394OtherGATAX I.D. FOR OTHER INSURA
000403147AMedicaidGA
102I100129OtherGAPTAN
202I100956OtherGAPTAN

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
I20120326000098 GA Practitioner - Gastroenterology 7315107679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga, LLCGroup PAC ID 2365431350, 138 clinicians
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

226 E College St
Suite B
Griffin, GA 30224-4348
Phone (678) 987-1490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31955GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC Gastroenterology CurrentSince Nov 1, 2015 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Nov 1, 2015 Accepting new patients
Eastside Endoscopy Center LLC Current Accepting new patients
Conyers Internal Medicine LLC PastSince Mar 21, 2013 Accepting new patients

Locations

1805 Honey Creek Cmns SE
Ste B
Conyers, GA 30013
Phone (770) 920-7000

1805 Honey Creek Cmns SE
Ste C
Conyers, GA 30013
Phone (770) 918-2555

226 E College St
Griffin, GA 30224
Phone 6789871490 ext. 5610

226 E College St
#B
Griffin, GA 30224
Phone (678) 987-1490

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: mirza.kajani@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1306975651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E COLLEGE ST",
            "address_2": "SUITE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244348",
            "telephone_number": "678-987-1490",
            "fax_number": "678-987-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E COLLEGE ST",
            "address_2": "SUITE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244348",
            "telephone_number": "678-987-1490",
            "fax_number": "678-987-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJANI",
        "first_name": "MIRZA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "31955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. FOR OTHER INSURA",
            "identifier": "300052394",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000403147A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "102I100129",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202I100956",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.