Individual provider Active NPI

Asutosh Vyas, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Morrow, GA
National Provider Identifier
1609016427
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
041993 Issued in GA
Practice address
3000 Corporate Center Dr
Suite 130
Morrow, GA 30260-4130
Phone
(770) 960-6030
Fax
(770) 968-3162
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 041993 GA Primary

Addresses

Primary practice location

3000 Corporate Center Dr
Suite 130
Morrow, GA 30260-4130

Mailing address

3000 Corporate Center Dr
Suite 130
Morrow, GA 30260-4130
Phone (770) 960-6030

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
I20081208000196 GA Practitioner - Anesthesiology 1658432703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Corporate Ctr Dr
Morrow, GA 30260-4157
Phone (770) 960-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
041993GAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Pain Clinic CurrentSince Oct 6, 1997 Accepting new patients

Locations

3000 Corporate Center Dr
Ste 130
Morrow, GA 30260
Phone (770) 960-6030

Interoperability endpoints

  • Direct secure messaging: asutosh.vyas@733.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1609016427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CENTER DR",
            "address_2": "SUITE 130",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604130",
            "telephone_number": "770-960-6030",
            "fax_number": "770-968-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORPORATE CENTER DR",
            "address_2": "SUITE 130",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604130",
            "telephone_number": "770-960-6030",
            "fax_number": "770-968-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "ASUTOSH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "041993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.