NPIMap

Individual provider Active NPI

Tarik Lalwani, MD

  • Nephrology Physician
  • Atlanta, GA
National Provider Identifier
1376606087
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
060755 Issued in GA
Practice address
5669 Peachtree Dunwoody Rd Ste 240
Atlanta, GA 30342-1719
Phone
(404) 410-3970
Fax
(404) 844-4818
NPI assigned
Dec 18, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MT189140 PA
Nephrology Physician 207RN0300X 060755 GA Primary

Addresses

Primary practice location

5669 Peachtree Dunwoody Rd Ste 240
Atlanta, GA 30342-1719

Mailing address

5669 Peachtree Dunwoody Rd Ste 240
Atlanta, GA 30342-1719
Phone (404) 410-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080728000559 GA Practitioner - NephrologyPractitioner - Internal Medicine 6507940889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peachtree Nephrology PCGroup PAC ID 1557517968, 6 clinicians

Practice addresses (Care Compare)

5667 Peachtree Dunwoody Rd
Suite 260
Atlanta, GA 30342-1714
Phone (404) 410-3970

5669 Peachtree Dunwoody Rd
Suite 240
Atlanta, GA 30342-1719

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT189140PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Hypertension Clinic, PC Nephrology CurrentSince Jul 1, 2008 Accepting new patients

Locations

605 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 961-1231

Organizations & group practices 3

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 10

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1376606087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 PEACHTREE DUNWOODY RD STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421719",
            "telephone_number": "404-410-3970",
            "fax_number": "404-844-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 PEACHTREE DUNWOODY RD STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421719",
            "telephone_number": "404-410-3970",
            "fax_number": "404-844-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALWANI",
        "first_name": "TARIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MT189140",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "060755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.