Individual provider Active NPI

Rajiv Verma, M.D.

  • Cardiovascular Disease Physician
  • Dalton, GA
National Provider Identifier
1609809813
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
48468 Issued in GA
Practice address
1600 Broadrick Dr
Dalton, GA 30720-3012
Phone
(706) 529-9301
Fax
(706) 529-9302
NPI assigned
Jul 9, 2006
Last updated
Aug 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 038950 TN
Specialist 174400000X GA
Cardiovascular Disease Physician 207RC0000X 38950 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 38950 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X 48468 GA
Cardiovascular Disease Physician 207RC0000X 48468 GA Primary

Addresses

Primary practice location

1600 Broadrick Dr
Dalton, GA 30720-3012

Mailing address

PO Box 6059
Dalton, GA 30722-6059
Phone (706) 529-9301

Other identifiers 1

IdentifierTypeStateIssuer
000911721EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050418000659 TN Practitioner - Cardiovascular Disease (Cardiology) 4385682723 Reassigns benefits to 1 organization
I20060109000575 GA Practitioner - Cardiovascular Disease (Cardiology) 4385682723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Medical Center, IncGroup PAC ID 0446151179, 105 clinicians
Heart and Rhythm SpecialistsGroup PAC ID 1658373105, 2 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

1600 Broadrick Dr
Dalton, GA 30720-3012

1600 Broadrick Dr
Dalton, GA 30720-3260
Phone (706) 529-9301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038950TNMDSpecialist
48468GAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc Cardiovascular Disease CurrentSince Aug 16, 2001 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Aug 16, 2001 Accepting new patients
Heart and Rhythm Specialists Cardiovascular Disease CurrentSince Aug 16, 2006 Accepting new patients
Murray Medical Center, Inc. Past Accepting new patients
Sivarama K Meduri MD PastSince Jan 1, 1998 Accepting new patients
Dalton Cardiology, P.C. Cardiovascular Disease Past Accepting new patients

Locations

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

1436 Broadrick Dr
#B
Dalton, GA 30720
Phone (706) 226-3434

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

1421 Ross Dr
Ste 3
Dalton, GA 30720
Phone (706) 226-1300

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1600 Broadrick Dr
Dalton, GA 30720
Phone (706) 529-9301

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

979 E 3rd St
Ste C830
Chattanooga, TN 37403
Phone (423) 778-7200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEHGAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1609809813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6059",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307226059",
            "telephone_number": "706-529-9301",
            "fax_number": "706-529-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203012",
            "telephone_number": "706-529-9301",
            "fax_number": "706-529-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "038950",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "38950",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "38950",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "GA",
            "license": "48468",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "48468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911721E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.