Individual provider Active NPI

Abhay Trivedi, MD

  • Cardiovascular Disease Physician
  • Decatur, GA
National Provider Identifier
1700974805
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
58625 Issued in GA
Practice address
2645 Lawrenceville Hwy
Decatur, GA 30033-2502
Phone
(770) 491-7030
Fax
(770) 491-7144
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 58625 GA Primary

Addresses

Primary practice location

2645 Lawrenceville Hwy
Decatur, GA 30033-2502

Mailing address

PO Box 1459
Decatur, GA 30031-1459
Phone (770) 491-7030

Other identifiers 2

IdentifierTypeStateIssuer
126477130AMedicaidGA
126477130BMedicaidGA

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
I20070129000703 GA Practitioner - Cardiovascular Disease (Cardiology) 2961403209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2645 Lawrenceville Hwy
Decatur, GA 30033-2502
Phone (770) 491-7030

Hospital & facility affiliations

  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

Merit-based Incentive Payment System (MIPS)

Final score
46.16 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
87.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58625GAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Cardiovascular Disease CurrentSince Mar 1, 2008 Accepting new patients
Dekalb Medical Center, Inc. Current Accepting new patients
Atlanta Metro Cardiology Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease Past Accepting new patients
Millennium Health Partners, LLC PastSince Sep 1, 2010 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

2680 Lawrenceville Hwy
Ste 202
Decatur, GA 30033
Phone (470) 250-1418

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2645 Lawrenceville Hwy
Decatur, GA 30033
Phone (770) 491-7030

1829 Lawrenceville Hwy
Decatur, GA 30033
Phone (404) 292-8335

Interoperability endpoints

  • Direct secure messaging: abhay.trivedi@gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDEBA/Endpoint/EDDEBA

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 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1700974805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300311459",
            "telephone_number": "770-491-7030",
            "fax_number": "770-491-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332502",
            "telephone_number": "770-491-7030",
            "fax_number": "770-491-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "ABHAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "58625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126477130A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126477130B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.