Active NPI
Sajeevani Gunasinghe Kim, MD, PHD
- Cardiovascular Disease Physician
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 98138
- Practice address
- 470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034 - Phone
- (404) 962-6000
- NPI assigned
- Jan 21, 2008
- Last updated
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 98138 | GA | Primary |
Addresses
Primary practice location
470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034
Mailing address
470 Northside Cherokee Blvd Ste 480
Canton, GA 30115-8034
Phone (404) 962-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Medical University of South Carolina College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 67.82
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 77.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98138 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current | Accepting new patients |
| The Southeast Permanente Medical Group | Internal Medicine | Current | Accepting new patients |
| Northside Cardiovascular Institute LLC | Cardiovascular Disease | Current | Accepting new patients |
| New York Society for the Relief of the Ruptured and Crippled Maintaini | Past | Accepting new patients |
Locations
1110 W Peachtree St NW
Ste 920
Atlanta, GA 30309
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
2400 Mount Zion Pkwy
Jonesboro, GA 30236
Phone (770) 603-3645
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1962060368
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Internal Medicine, WA
-
dba HSS-Ortho Queens
- Special Hospital
- Fresh Meadows, NY
- NPI 1871896811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1487830493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 NORTHSIDE CHEROKEE BLVD STE 480",
"city": "CANTON",
"state": "GA",
"postal_code": "301158034",
"telephone_number": "404-962-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 NORTHSIDE CHEROKEE BLVD STE 480",
"city": "CANTON",
"state": "GA",
"postal_code": "301158034",
"telephone_number": "404-962-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "SAJEEVANI",
"middle_name": "GUNASINGHE",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-21",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "98138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.