Organization Active NPI

Suburban Retina Associates LLC

  • Retina Specialist (Ophthalmology) Physician
  • Peachtree Corners, GA
National Provider Identifier
1598535692
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
SUBURBAN RETINA ASSOCIATES LLC
Practice address
4989 Peachtree Pkwy Ste 240
Peachtree Corners, GA 30092-2589
Phone
(770) 246-1330
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Dr. Rishi Singhal, MDNPI 1427412550
Title
Owner
Phone
(770) 365-9962

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

4989 Peachtree Pkwy Ste 240
Peachtree Corners, GA 30092-2589

Mailing address

4989 Peachtree Pkwy Ste 240
Peachtree Corners, GA 30092-2589
Phone (770) 246-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702001515 GA Part B Supplier - Clinic/Group Practice 7315481249 Receives reassigned benefits from 1 practitioner
Practice locations: Peachtree Corners, GA

National Provider Directory

National Provider Directory

Locations

4989 Peachtree Pkwy
Ste 240
Peachtree Corners, GA 30092
Phone (770) 246-1330

Interoperability endpoints

  • Direct secure messaging: rsinghal@sura.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1598535692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 240",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-246-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 PEACHTREE PKWY STE 240",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922589",
            "telephone_number": "770-246-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN RETINA ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SINGHAL",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-365-9962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.