Sunitha Kalyanam, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

83313 Issued in GA

Practice address

663 Lanier Park Dr
Gainesville, GA 30501-2059

Phone

(678) 450-0202

Fax

(678) 928-6698

NPI assigned

May 22, 2007

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kidney Care Center of Georgia LLCGroup PAC ID 9638200819, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Medical Care Habersham Dialysis facility, Demorest, GA, CCN 112800
• FMC - RCG Gainesville Dialysis facility, Gainesville, GA, CCN 112634
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• Northeast Georgia Medical Center Habersham Hospital, Demorest, GA, CCN 110041
• NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045
• Northeast Georgia Medical Center Lumpkin Hospital, Dahlonega, GA, CCN 110237
• Emory Johns Creek Hospital Hospital, Johns Creek, GA, CCN 110230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations (25 of 34)

Interoperability endpoints

• Direct secure messaging: skalyanam17054@direct.acumenmd.com

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.

• Kidney Care Center of Georgia LLC

  • Nephrology Physician
  • Gainesville, GA
  • NPI 1588981187
  Medicare reassignment Care Compare group NPD
• Tbird Hospitalist Group, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1134155724
  NPD (past)

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

• Fresenius Medical Care Kidney Healthcare, LLC

  dba Fresenius Medical Care Habersham

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Demorest, GA
  • NPI 1144490889

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Care Group Gainesville East, LLC

  dba RCG Gainesville

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Gainesville, GA
  • NPI 1386756104

  Dialysis facility

  Care Compare affiliation Name & address match
• Ehca Johns Creek, LLC

  dba Emory Johns Creek Hospital

  • General Acute Care Hospital
  • Johns Creek, GA
  • NPI 1679632137
  Care Compare affiliation
• NGMC Barrow LLC

  dba NGMC Barrow

  • General Acute Care Hospital
  • Winder, GA
  • NPI 1881144889
  Care Compare affiliation
• NGMC Lumpkin, LLC

  • General Acute Care Hospital
  • Dahlonega, GA
  • NPI 1083174973
  Care Compare affiliation
• Northeast Georgia Medical Center Habersham LLC

  • General Acute Care Hospital
  • Demorest, GA
  • NPI 1740981430
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1639388903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-928-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 LANIER PARK DR",
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            "postal_code": "305012059",
            "telephone_number": "678-450-0202",
            "fax_number": "678-928-6698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Rowe Ln",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300415586",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "735 N Historic Hwy 441",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "30535",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1492 Jesse Jewell Pkwy SE",
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            "postal_code": "305013852",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
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        },
        {
            "address_1": "2565 Thompson Bridge Rd",
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            "state": "GA",
            "postal_code": "305011723",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1856 Thompson Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305011663",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 Buford Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300412720",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5670 Old Winder Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305171240",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "638 Hwy 441 N",
            "address_purpose": "LOCATION",
            "city": "Demorest",
            "state": "GA",
            "postal_code": "305353053",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Northside Blvd Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418247",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 Johns Creek Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241213",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 Friendship Rd",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175609",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 Buford Hwy Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183666",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Market Place Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417938",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2545 Flintridge Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305017428",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10680 Medlock Bridge Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978420",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6225 Atlanta Hwy Ste 117",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300048799",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3170 Peachtree Industrial Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300978615",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2349 Sparta Way",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305192000",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Jesse Jewell Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013806",
            "country_code": "US",
            "telephone_number": "678-450-0202",
            "fax_number": "678-971-6065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALYANAM",
        "first_name": "SUNITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "83313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
            "identifier": "83313",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Luke Kalarickal, M.D.
• Andre M Kallab, M.D.
• Michael Kallab, CAA
• Ukoha Agbai Kalu, MD
• Devaki Kalvapudi
• Susan Kammerer
• Gautham Kanagaraj, M.D.
• Swathi Kanakamedala, DO
• Ines K Kananda, DO
• Stefanie Kananda, D.O.

• Nephrology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.

Verify at the official NPI Registry.