Active NPI
Deepika Koganti
- Surgical Critical Care Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 80987
- Practice address
- 69 Jesse Hill Jr. Drive, SW
Glenn Memorial BLDG 3Rd FL
Atlanta, GA 30303 - Phone
- (404) 251-8915
- NPI assigned
- Apr 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 80987 | GA | Primary |
Addresses
Primary practice location
69 Jesse Hill Jr. Drive, SW
Glenn Memorial BLDG 3Rd FL
Atlanta, GA 30303
Mailing address
69 Jesse Hill Jr. Drive, SW
Glenn Memorial BLDG 3Rd FL
Atlanta, GA 30303
Phone (404) 251-8915
Other practice location 1
1015 Chestnut St
suite 620
Philadelphia, PA 19107-4316
Phone (215) 955-6864
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Correll Pavilion
80 Gilmer St.SE
Atlanta, GA 30303-9998
Phone (404) 616-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 80987 | GA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
6325 Hospital Pkwy
Johns Creek, GA 30097
Phone (404) 251-1880
Interoperability endpoints
- dkoganti20234@direct.emory.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063452381
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1225294739
-
- Neurology Physician
- Atlanta, GA
- NPI 1376642751
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1548527450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 JESSE HILL JR. DRIVE, SW",
"address_2": "GLENN MEMORIAL BLDG 3RD FL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-251-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 JESSE HILL JR. DRIVE, SW",
"address_2": "GLENN MEMORIAL BLDG 3RD FL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-251-8915"
}
],
"practiceLocations": [
{
"address_1": "1015 Chestnut St",
"address_2": "suite 620",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074316",
"country_code": "US",
"telephone_number": "215-955-6864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOGANTI",
"first_name": "DEEPIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "GA",
"license": "80987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.