Individual provider Active NPI

Rekha Kesavan, M.D.

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1497908560
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
066196 Issued in GA
Practice address
Comprehensive Primary Care, LLC
761 Walther Toad, Suite 200
Lawrenceville, GA 30046
Phone
(678) 888-2273
Fax
(678) 888-2200
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 066196 GA Primary

Addresses

Primary practice location

Comprehensive Primary Care, LLC
761 Walther Toad, Suite 200
Lawrenceville, GA 30046

Mailing address

Comprehensive Primary Care, LLC
3905 Johns Creek Court, Suite 200
Suwanee, GA 30024
Phone (678) 888-2273

Other practice location 1

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 265-4919

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
I20110915000439 GA Practitioner - Internal Medicine 7113198540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care LLCGroup PAC ID 5395098867, 5 clinicians

Practice addresses (Care Compare)

3905 Johns Creek CT
Suite 200
Suwanee, GA 30024-1225

761 Walther Rd
Suite 200
Lawrenceville, GA 30046-8725
Phone (678) 888-2273

Hospital & facility affiliations

  • Accentcare Home Health of Northeast Georgia Home health agency, Buford, GA, CCN 117139
  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Northside Hospital Gwinnett Hospital, Lawrenceville, GA, CCN 110087
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
066196GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Primary Care, LLC Single Specialty CurrentSince May 15, 2018 Accepting new patients
Gwinnett Physician Group, LLC Single Specialty CurrentSince Dec 1, 2011 Accepting new patients

Locations

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

601 Old Norcross Rd
Ste A
Lawrenceville, GA 30046
Phone 7702843150458

761 Walther Rd
Ste 200
Lawrenceville, GA 30046
Phone (678) 296-5504

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

3905 Johns Creek Ct
Ste 200
Suwanee, GA 30024
Phone (678) 888-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHAGBD

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1497908560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC",
            "address_2": "3905 JOHNS CREEK COURT, SUITE 200",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMPREHENSIVE PRIMARY CARE, LLC",
            "address_2": "761 WALTHER TOAD, SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "678-888-2273",
            "fax_number": "678-888-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-4919",
            "fax_number": "770-963-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESAVAN",
        "first_name": "REKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "066196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.