Individual provider Active NPI

Ritesh Kohli, M.D.

  • Rheumatology Physician
  • Marietta, GA
National Provider Identifier
1497061972
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
75788 Issued in GA
Practice address
670 North Ave NW Ste 100
Marietta, GA 30060-1100
Phone
(770) 590-8328
Fax
(770) 590-8231
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 75788 GA Primary

Addresses

Primary practice location

670 North Ave NW Ste 100
Marietta, GA 30060-1100

Mailing address

670 North Ave NW Ste 100
Marietta, GA 30060-1100
Phone (770) 590-8328

Other practice location 1

95 Armory Rd
Stratford, CT 06614-1753
Phone (203) 384-3388

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
I20160713002256 GA Practitioner - Rheumatology 8123336377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marietta Rheumatology Associates, P.C.Group PAC ID 9739174392, 2 clinicians

Practice addresses (Care Compare)

670 N Ave NW
Suite 100
Marietta, GA 30060-1100
Phone (770) 590-8328

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Rheumatology Associates, P.C. CurrentSince Aug 1, 2016 Accepting new patients

Locations

670 North Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 560-7166

670 North Ave NW
Ste A
Marietta, GA 30060
Phone (770) 590-8328

Interoperability endpoints

  • Direct secure messaging: ritesh.kohli@mra.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAIDAA

Organizations & group practices 1

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 4

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1497061972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 NORTH AVE NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601100",
            "telephone_number": "770-590-8328",
            "fax_number": "203-384-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 NORTH AVE NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601100",
            "telephone_number": "770-590-8328",
            "fax_number": "770-590-8231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Armory Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066141753",
            "country_code": "US",
            "telephone_number": "203-384-3388",
            "fax_number": "203-384-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "RITESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "75788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.