Individual provider Active NPI

Shraddha Tongia, M.D.

  • Pulmonary Disease Physician
  • Athens, GA
National Provider Identifier
1689718215
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
56374 Issued in GA
Practice address
3320 Old Jefferson Rd
Building 200, Suite a
Athens, GA 30607-1400
Phone
(706) 549-5560
Fax
(706) 543-2593
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 56374 GA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 56374 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 56374 GA

Addresses

Primary practice location

3320 Old Jefferson Rd
Building 200, Suite a
Athens, GA 30607-1400

Mailing address

3320 Old Jefferson Rd
Building 200, Suite a
Athens, GA 30607-1400
Phone (706) 549-5560

Other identifiers 1

IdentifierTypeStateIssuer
589958479AMedicaidGA

Other names 1

  • Shraddha Upadhyaya Former name

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
I20060123000396 GA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3577587161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Pulmonary and Allergy, P.C.Group PAC ID 0547219958, 23 clinicians

Practice addresses (Care Compare)

3320 Old Jefferson Rd
Athens, GA 30607-1400
Phone 7065495560223

3320 Old Jefferson Rd
200A
Athens, GA 30607-1478

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
73.45
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56374GAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Pulmonary and Allergy, P.C. Pulmonary Disease CurrentSince Feb 22, 2008 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Apr 1, 2008 Accepting new patients
Piedmont Athens Regional Medical Center, Inc. CurrentSince Apr 1, 2008 Accepting new patients
St. Mary'S Hospital, Inc. Past Accepting new patients
Monroe Hma Physician Management LLC PastSince Jan 13, 2014 Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 200
Athens, GA 30607
Phone (706) 549-5560

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

3320 Old Jefferson Rd
Ste 200
Athens, GA 30607
Phone (706) 549-5560

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1689718215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 200, SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD",
            "address_2": "BUILDING 200, SUITE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONGIA",
        "first_name": "SHRADDHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "56374",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "56374",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "56374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589958479A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHRADDHA",
            "last_name": "UPADHYAYA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.