Individual provider Active NPI

Ajay Kumar Kaja, MBBS

  • Cardiovascular Disease Physician
  • Fayetteville, GA
National Provider Identifier
1487918694
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
91585 Issued in GA
Practice address
1267 Highway 54 W Ste 5200
Fayetteville, GA 30214-2113
Phone
(770) 719-5601
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-44612 IA
Cardiovascular Disease Physician 207RC0000X 91585 GA Primary

Addresses

Primary practice location

1267 Highway 54 W Ste 5200
Fayetteville, GA 30214-2113

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Other practice location 1

419 E Donald St
Waterloo, IA 50703
Phone (319) 236-1911

Other practice location 2

419 E Donald St
Waterloo, IA 50703
Phone (319) 236-1911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akaja628374@direct.unitypoint.org Direct Allen Memorial Hospital Corporation

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
I20220624001788 GA Practitioner - Cardiovascular Disease (Cardiology) 3173820149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1267 Hwy 54 W
Suite 2200
Fayetteville, GA 30214
Phone (770) 716-0051

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91585GAMDCardiovascular Disease Physician
MD-44612IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jul 24, 2022 Accepting new patients
Piedmont Professional Services, LLC Cardiovascular Disease CurrentSince Feb 8, 2026 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jul 10, 2018 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jul 10, 2018 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Piedmont Athens Specialty Care LLC Cardiovascular Disease Past Accepting new patients

Locations

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

1267 Highway 54 W
Ste 5200
Fayetteville, GA 30214
Phone (770) 719-5601

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

795 Poplar Rd
Ste 400
Newnan, GA 30265
Phone (770) 254-6089

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

20 Francis Way
Ste 201
Sharpsburg, GA 30277
Phone (770) 254-6089

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

Organizations & group practices 6

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 3

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1487918694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 HIGHWAY 54 W STE 5200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142113",
            "telephone_number": "770-719-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 E Donald St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50703",
            "country_code": "US",
            "telephone_number": "319-236-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 E Donald St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "50703",
            "country_code": "US",
            "telephone_number": "319-236-1911",
            "fax_number": "866-262-3635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAJA",
        "first_name": "AJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-44612",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "91585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akaja628374@direct.unitypoint.org",
            "affiliation": "Y",
            "endpointDescription": "UnityPoint",
            "affiliationName": "Allen Memorial Hospital Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1825 Logan Ave",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507031916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.