Active NPI
Suburban Retina Associates LLC
- Retina Specialist (Ophthalmology) Physician
- Peachtree Corners, GA
National Provider Identifier
1598535692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rishi Singhal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 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
National Provider Directory
National Provider DirectoryLocations
4989 Peachtree Pkwy
Ste 240
Peachtree Corners, GA 30092
Phone (770) 246-1330
Interoperability endpoints
- 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.
-
- Retina Specialist (Ophthalmology) Physician
- Peachtree Corners, GA
- NPI 1427412550
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.