Active NPI
Abhijit Ghatak, MD
- Interventional Cardiology Physician
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 081487
- Practice address
- 1700 Tree LN Ste 190
Snellville, GA 30078-6766 - Phone
- (770) 736-6300
- NPI assigned
- Aug 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 081487 | GA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 305412 | LA |
Addresses
Primary practice location
1700 Tree LN Ste 190
Snellville, GA 30078-6766
Mailing address
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 430-3110
Other practice location 1
1850 Gause Blvd E Ste 202
Slidell, LA 70461-5455
Phone (732) 915-6009
Other practice location 2
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 430-3110
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 |
|---|---|---|---|---|
| I20181212002063 | GA | Practitioner - Cardiovascular Disease (Cardiology) | 3476856360 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Cardiology of Atlanta, LLC
Practice addresses (Care Compare)
1700 Tree LN
Suite 190
Snellville, GA 30078-6766
Phone (770) 366-6300
Hospital & facility affiliations
- Piedmont Eastside Medical Center
- Northside Hospital Gwinnett
- Piedmont Hospital, Inc
- Piedmont Walton Hospital
- Piedmont Cartersville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 25 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081487 | GA | MD | Interventional Cardiology Physician |
| 305412 | LA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Interventional Cardiology | Current | Accepting new patients |
| Eastside Medical Center, LLC | Past | Accepting new patients |
Locations
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
3215 McClure Bridge Rd
Duluth, GA 30096
Phone (678) 312-6000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
766 Walther Rd
Ste 100
Lawrenceville, GA 30046
Phone (678) 985-8001
1800 Tree Ln
Ste 250
Snellville, GA 30078
Phone (678) 631-3710
1700 Tree Ln
Ste 190
Snellville, GA 30078
Phone (404) 805-9991
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
GA, Interventional Cardiology
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cartersville, GA
- NPI 1780638833
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1497902084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 JESSE JEWELL PKWY NE STE 300",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013806",
"telephone_number": "678-430-3110",
"fax_number": "678-928-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 TREE LN STE 190",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786766",
"telephone_number": "770-736-6300"
}
],
"practiceLocations": [
{
"address_1": "1850 Gause Blvd E Ste 202",
"address_purpose": "LOCATION",
"city": "Slidell",
"state": "LA",
"postal_code": "704615455",
"country_code": "US",
"telephone_number": "732-915-6009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1475 Jesse Jewell Pkwy NE Ste 300",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013806",
"country_code": "US",
"telephone_number": "678-430-3110",
"fax_number": "678-928-5955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHATAK",
"first_name": "ABHIJIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "081487",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "305412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.