Individual provider Active NPI

Vivekananda Pattabiraman, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1467649830
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
065602 Issued in GA
Practice address
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1611
Phone
(404) 303-3760
Fax
(404) 303-3759
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29763 AL
Internal Medicine Physician 207R00000X 45291 TN
Internal Medicine Physician 207R00000X 04-34597 KS
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 065602 GA Primary

Addresses

Primary practice location

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1611

Mailing address

2779 Stone Hall Dr
Marietta, GA 30062-5061
Phone (862) 485-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110726000739 GA Practitioner - HospitalistPractitioner - Internal Medicine 1658402482 Reassigns benefits to 6 organizations
I20140313001713 TN Practitioner - Internal Medicine 1658402482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29763ALMDInternal Medicine Physician
065602GAMDInternal Medicine Physician
04-34597KSMDInternal Medicine Physician
45291TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Current Accepting new patients
Chattanooga Hamilton County Hospital Authority Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Gwinnett Physician Group, LLC Internal Medicine CurrentSince Jul 29, 2020 Accepting new patients
Emory Medical Care Foundation Inc Internal Medicine CurrentSince Jan 17, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 1, 2014 Accepting new patients
24 On Physicians, PC CurrentSince Feb 15, 2017 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients
24 On Physicians, P.C. CurrentSince Feb 15, 2017 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jul 29, 2020 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jul 3, 2020 Accepting new patients
Georgia Hospitalists Group, LLC CurrentSince Feb 17, 2016 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Jan 17, 2017 Accepting new patients
Inpatient Consultants of Alabama, Inc Internal Medicine Past Accepting new patients
Northside Hospital, Inc. Past Accepting new patients
Mount Lassen Emergency Physicians LLC Past Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Butler St SE
Atlanta, GA 30368
Phone (404) 327-5920

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941

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

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

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

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1467649830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 STONE HALL DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625061",
            "telephone_number": "862-485-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421611",
            "telephone_number": "404-303-3760",
            "fax_number": "404-303-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTABIRAMAN",
        "first_name": "VIVEKANANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29763",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "45291",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-34597",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "065602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.