Organization Active NPI

Dvir Associates, Inc

Doing business as Minimally Invasive Center of Atlanta

  • Vascular & Interventional Radiology Physician
  • Duluth, GA
National Provider Identifier
1639576069
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
066391 Issued in GA
Legal business name
DVIR ASSOCIATES, INC
Doing business as
Minimally Invasive Center of Atlanta
Practice address
3840 Peachtree Industrial Blvd Ste 275
Duluth, GA 30096
Phone
(404) 977-1238
Fax
(404) 600-1178
NPI assigned
Dec 1, 2014
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Neel Anilkumar Patel, MDNPI 1174837231
Title
President
Phone
(770) 608-3728

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
Vascular & Interventional Radiology Physician 2085R0204X 066391 GA Primary

Addresses

Primary practice location

3840 Peachtree Industrial Blvd Ste 275
Duluth, GA 30096

Mailing address

2637 Kinnett CT SW
Lilburn, GA 30047-5739
Phone (770) 608-3728

Other practice location 1

2855 Candler Rd Ste 10
Decatur, GA 30034-1415
Phone (404) 977-1238

Other identifiers 1

IdentifierTypeStateIssuer
003119505EMedicaidGA

Other names 1

  • Minimally Invasive Center of Atlanta Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306000748 GA Part B Supplier - Clinic/Group Practice 4486970605 Receives reassigned benefits from 1 practitioner
Practice locations: Doraville, GA; Duluth, GA

National Provider Directory

National Provider Directory

Locations

5040 Snapfinger Woods Dr
Ste 206
Decatur, GA 30035
Phone (404) 975-4684

6485 Peachtree Industrial Blvd
Doraville, GA 30360
Phone (404) 977-1238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1639576069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 KINNETT CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475739",
            "telephone_number": "770-608-3728",
            "fax_number": "404-600-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 275",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "404-977-1238",
            "fax_number": "404-600-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Candler Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300341415",
            "country_code": "US",
            "telephone_number": "404-977-1238",
            "fax_number": "404-600-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DVIR ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEEL",
        "authorized_official_middle_name": "ANILKUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-608-3728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "066391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119505E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minimally Invasive Center of Atlanta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minimally Invasive Center of Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.