Individual provider Active NPI

Kavitha Gopal, M.D.

  • Gastroenterology Physician
  • Decatur, GA
National Provider Identifier
1467613844
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
248681 Issued in NY
Practice address
3292 Mountain Dr
Suite a
Decatur, GA 30032-1102
Phone
(404) 294-8180
Fax
(404) 294-8188
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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 248681 NY Primary

Addresses

Primary practice location

3292 Mountain Dr
Suite a
Decatur, GA 30032-1102

Mailing address

3292 Mountain Dr
Suite a
Decatur, GA 30032-1102
Phone (404) 294-8180

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
I20110901000598 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 9234309147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists of DekalbGroup PAC ID 6901857499, 2 clinicians

Practice addresses (Care Compare)

3292 Mountain Dr
Decatur, GA 30032-1102
Phone 4042948180115

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux58
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248681NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GSD Anesthesia Providers, LLC CurrentSince Jul 2, 2019 Accepting new patients
Decatur Endoscopy Center, LLC Past Accepting new patients

Locations

3292 Mountain Dr
Ste A
Decatur, GA 30032
Phone (404) 294-8180

3292 Mountain Dr
Decatur, GA 30032
Phone (404) 294-8180

Interoperability endpoints

  • Direct secure messaging: kavitha.gopal@gsod.eclinicaldirectplus.com

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 and National Provider Directory roles.

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1467613844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "KAVITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "248681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.