Active NPI
Mailupillai Kumareswaran, MD
- Internal Medicine Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 045861
- Practice address
- 475 Philip Blvd Ste 300
Lawrenceville, GA 30046-8736 - Phone
- (770) 995-3300
- Fax
- (770) 995-3307
- NPI assigned
- May 9, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 045861 | GA | Primary |
Addresses
Primary practice location
475 Philip Blvd Ste 300
Lawrenceville, GA 30046-8736
Mailing address
10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Other practice location 1
2327 Winder Hwy
Dacula, GA 30019-2205
Phone (770) 962-0054
Other practice location 2
4580 Nelson Brogdon Blvd
Buford, GA 30518-3478
Phone (770) 831-6703
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
475 Philip Blvd
Suite 300
Lawrenceville, GA 30046-8736
Phone (777) 099-5330
Hospital & facility affiliations
- Central Home Health Care, an Amedisys Company
- Centerwell Home Health
- Accentcare Home Health of Northeast Georgia
- Northside Hospital Gwinnett
- Northside Hospital Forsyth
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Clinic LTD | Current | Accepting new patients | |
| Gwinnett Clinic, LTD | Internal Medicine | Current | Accepting new patients |
| Gwinnett Clinic, LTD | Internal Medicine | Current | Accepting new patients |
Locations
4580 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 831-6703
2327 Winder Hwy
Dacula, GA 30019
Phone (770) 962-0054
10600 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 418-0818
475 Philip Blvd
Ste 100301
Lawrenceville, GA 30046
Phone (770) 923-7301
475 Philip Blvd
Ste 100
Lawrenceville, GA 30046
Phone (678) 226-6202
475 Philip Blvd
Ste 300
Lawrenceville, GA 30046
Interoperability endpoints
- mailupillai.kumareswaran@gclinic.emedpractice.direct-ci.com
- mailupillai.kumareswaran.1@32352.direct.athenahealth.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.
-
- Multi-Specialty Clinic/Center
- Duluth, GA
- NPI 1629117650
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucker, GA
- NPI 1477501179
-
- Home Health Agency
- Buford, GA
- NPI 1639100985
-
- Home Health Agency
- Kennesaw, GA
- NPI 1770513574
-
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673654400000",
"number": "1487603262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10600 MEDLOCK BRIDGE RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300978404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 PHILIP BLVD STE 300",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468736",
"telephone_number": "770-995-3300",
"fax_number": "770-995-3307"
}
],
"practiceLocations": [
{
"address_1": "2327 Winder Hwy",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300192205",
"country_code": "US",
"telephone_number": "770-962-0054",
"fax_number": "770-962-1747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4580 Nelson Brogdon Blvd",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305183478",
"country_code": "US",
"telephone_number": "770-831-6703",
"fax_number": "770-831-6705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMARESWARAN",
"first_name": "MAILUPILLAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2023-01-14",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "045861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.