Active NPI
Kimberly Atianzar, M.D.
- Interventional Cardiology Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 80548
- Practice address
- 1120 15TH St
Augusta, GA 30912 - Phone
- (706) 721-8623
- Fax
- (706) 721-1459
- NPI assigned
- Jun 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 80548 | GA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 35C.004051 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | MD60747134 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | A112559 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 23863 | MS | |
| Interventional Cardiology Physician | 207RI0011X | 131693 | MT |
Addresses
Primary practice location
1120 15TH St
Augusta, GA 30912
Mailing address
1120 15TH St Ste Bi1056
Augusta, GA 30912-0004
Phone (706) 721-3813
Other practice location 1
550 17th Ave Fl 6
Seattle, WA 98122-5788
Phone (206) 861-8550
Other practice location 2
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Other practice location 3
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Other practice location 4
1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 731-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MT, CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 28TH St S
Suite 2
Great Falls, MT 59405-5296
Phone (406) 455-5000
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-9596
Hospital & facility affiliations
- Benefis Hospitals Inc
- Arrowhead Regional Medical Center
- Medina Hospital
- Cleveland Clinic
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112559 | CA | MD | General Practice Dentistry |
| A112559 | CA | MD | Cardiovascular Disease Physician |
| 23863 | MS | MD | Cardiovascular Disease Physician |
| 80548 | GA | MD | Interventional Cardiology Physician |
| 131693 | MT | MD | Interventional Cardiology Physician |
| 35C.004051 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Cardiovascular Specialists of Redlands and the Inland Empire LLC | Cardiovascular Disease | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
1752 E Lugonia Ave
Ste 1171124
Redlands, CA 92374
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021
1300 28th St S
Ste 2
Great Falls, MT 59405
Phone (406) 731-2362
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1300 28th St S
Fl 2
Great Falls, MT 59405
Phone (406) 455-4320
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Cardiovascular Disease Physician
- Redlands, CA
- NPI 1558121814
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
-
- General Acute Care Hospital
- Medina, OH
- NPI 1083696710
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1497917629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 15TH ST STE BI1056",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120004",
"telephone_number": "706-721-3813",
"fax_number": "706-721-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30912",
"telephone_number": "706-721-8623",
"fax_number": "706-721-1459"
}
],
"practiceLocations": [
{
"address_1": "550 17th Ave Fl 6",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225788",
"country_code": "US",
"telephone_number": "206-861-8550",
"fax_number": "206-861-8551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 28th St S Fl 2",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055296",
"country_code": "US",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATIANZAR",
"first_name": "KIMBERLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-29",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "GA",
"license": "80548",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35C.004051",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD60747134",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A112559",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "23863",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MT",
"license": "131693",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.