Individual provider Active NPI

Jigishu J Dhabuwala, M.D.

  • Interventional Cardiology Physician
  • Cumming, GA
National Provider Identifier
1699009993
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
66591 Issued in GA
Practice address
3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Sep 21, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 66591 GA Primary

Addresses

Primary practice location

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069

Mailing address

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4612

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
I20110920000357 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 3678744869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Care, LLCGroup PAC ID 0941303622, shared by 2 NPIs, 45 clinicians

Practice addresses (Care Compare)

101 Greenfield Dr
Suite 260
Cumming, GA 30040-2727
Phone (678) 513-2273

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as individual
Quality
80.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66591GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Care, LLC CurrentSince Aug 15, 2023 Accepting new patients
Heart and Vascular Care, LLC CurrentSince Aug 15, 2023 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 202
Alpharetta, GA 30022
Phone (770) 751-9131

4465 Nelson Brogdon Blvd
Ste 103
Buford, GA 30518

1495 Hickory Flat Hwy
Ste 140
Canton, GA 30115

320 Hospital Rd
Canton, GA 30114
Phone (770) 479-5535

970 Joe Frank Harris Pkwy SE
Ste 380A
Cartersville, GA 30120

101 Greenfield Dr
Ste 260
Cumming, GA 30040

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040
Phone (678) 208-6146

73 Prestige Ln
Ste 205
Dawsonville, GA 30534

433 Highland Pkwy
Ste 201
Ellijay, GA 30540
Phone (706) 253-5514

53 Gordon Rd
Ste 102
Jasper, GA 30143

290 Heritage Walk
Ste B
Woodstock, GA 30188
Phone (770) 382-0185

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1164/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jigishu.dhabuwala.1@1164.direct.athenahealth.com

Organizations & group practices 2

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": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1699009993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHABUWALA",
        "first_name": "JIGISHU",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "66591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.