Active NPI
Jinu Pravin Kamdar, M.D.
- Surgery Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 62368
- Practice address
- 55 Whitcher St NE
Suite 130
Marietta, GA 30060-1155 - Phone
- (770) 428-0462
- Fax
- (770) 427-8001
- NPI assigned
- Feb 10, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 62368 | GA | Primary |
Addresses
Primary practice location
55 Whitcher St NE
Suite 130
Marietta, GA 30060-1155
Mailing address
55 Whitcher St NE
Suite 130
Marietta, GA 30060-1155
Phone (770) 428-0462
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090729000776 | GA | Practitioner - General Surgery | 9739232349 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Wisconsin School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emory Medical Care Foundation Inc
Practice addresses (Care Compare)
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Correll Pavilion
80 Gilmer St.SE
Atlanta, GA 30303-9998
Phone (404) 616-1000
Hospital & facility affiliations
- Grady Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62368 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Southern Regional Physicians Management Group, LLC | Surgery | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Surgery | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Wellstar Medical Group, LLC | Surgery | Past | Accepting new patients |
| Emory Health Care | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
4007 Flat Shoals Pkwy
Decatur, GA 30034
Phone (404) 616-5711
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
55 Whitcher St NE
Ste 130
Marietta, GA 30060
Phone (770) 426-1629
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
11 Upper Riverdale Rd SW
Ste 21
Riverdale, GA 30274
Interoperability endpoints
- jkamdar@direct.southernregional.org
- jkamdar23041@directwellstar.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
GA, Surgery
-
- Surgery Physician
- Riverdale, GA
- NPI 1043677271
GA, Surgery
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Roswell, GA
- NPI 1922405729
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
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": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1477526309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-428-0462",
"fax_number": "770-427-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 WHITCHER ST NE",
"address_2": "SUITE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601155",
"telephone_number": "770-428-0462",
"fax_number": "770-427-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMDAR",
"first_name": "JINU",
"middle_name": "PRAVIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "62368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.