Individual provider Active NPI

Kumud Sharma Rangaraj, M.D.

  • Hematology & Oncology Physician
  • Cumming, GA
National Provider Identifier
1649241829
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
059007 Issued in GA
Practice address
1505 Northside Blvd Ste 4600
Cumming, GA 30041-7658
Phone
(770) 205-5292
Fax
(770) 205-5291
NPI assigned
Jan 27, 2006
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X KS082798 MI
Hematology & Oncology Physician 207RH0003X 059007 GA Primary

Addresses

Primary practice location

1505 Northside Blvd Ste 4600
Cumming, GA 30041-7658

Mailing address

1505 Northside Blvd Ste 4600
Cumming, GA 30041-7658
Phone (770) 205-5292

Other practice location 1

427 W 3rd Ave
Suite 100
Albany, GA 31701-1975
Phone (229) 312-0344

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
I20090126000351 GA Practitioner - Hematology/OncologyPractitioner - Hospice/Palliative CarePractitioner - Internal Medicine 1557255874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hospice/Palliative Care, Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services a, LLCGroup PAC ID 1557514247, 41 clinicians

Practice addresses (Care Compare)

5670 Peachtree Dunwoody Rd
Suite 1100
Atlanta, GA 30342-4795
Phone (404) 851-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KS082798MIMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC Hematology & Oncology CurrentSince Sep 15, 2021 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Sep 15, 2021 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Nov 17, 2008 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Nov 17, 2008 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients
Imageplus Atlanta PastSince Apr 7, 2007 Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

425 W 3rd Ave
Ste 100
Albany, GA 31701
Phone (229) 312-5500

427 W 3rd Ave
Ste 100
Albany, GA 31701
Phone (229) 312-0042

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

460 Northside Cherokee Blvd
Ste 450
Canton, GA 30115
Phone (404) 419-1140

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

1505 Northside Blvd
Ste 4600
Cumming, GA 30041
Phone (770) 205-5292

5670 Peachtree Dunwoody Rd
Ste 1100
Sandy Springs, GA 30342
Phone (404) 851-2300

Organizations & group practices 9

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 4

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1649241829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD STE 4600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417658",
            "telephone_number": "770-205-5292",
            "fax_number": "770-205-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 NORTHSIDE BLVD STE 4600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417658",
            "telephone_number": "770-205-5292",
            "fax_number": "770-205-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W 3rd Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011975",
            "country_code": "US",
            "telephone_number": "229-312-0344",
            "fax_number": "229-312-0345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGARAJ",
        "first_name": "KUMUD",
        "middle_name": "SHARMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "KS082798",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "059007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.