Individual provider Active NPI

H David Sanusi, M.D.

  • Anesthesiology Physician
  • Marietta, GA
National Provider Identifier
1720060668
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036450 Issued in GA
Practice address
2500 Dallas Hwy
PMB 160 Ste 202
Marietta, GA 30064-7505
Phone
(770) 920-6413
Fax
(678) 974-3113
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036450 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036450 GA

Addresses

Primary practice location

2500 Dallas Hwy
PMB 160 Ste 202
Marietta, GA 30064-7505

Mailing address

2500 Dallas Hwy
PMB 160 Ste 202
Marietta, GA 30064-7505
Phone (770) 920-6413

Other identifiers 3

IdentifierTypeStateIssuer
000573185DMedicaidGA
000573185FMedicaidGA
491431789AMedicaidGA

Other names 1

  • Hani David Sanusi Other 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
I20031223000006 GA Practitioner - Anesthesiology 6608774252 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Specialists in Anesthesia, P.C.Group PAC ID 9830170059, 112 clinicians

Practice addresses (Care Compare)

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone (404) 257-1415

Hospital & facility affiliations

  • Saint Joseph'S Hospital of Atlanta, Inc Hospital, Atlanta, GA, CCN 110082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036450GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Center for Reconstructive Foot & Ankle Surgery, LLC CurrentSince Jul 7, 2012 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Nov 15, 2009 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Windy Hill Anesthesia Associates, PC Anesthesiology Current Accepting new patients
Georgia Group Services, LLC Anesthesiology Current Accepting new patients
Physician Specialists in Anesthesia, P.C. Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients
Priority Anesthesia, LLC Anesthesiology PastSince Jul 19, 2007 Accepting new patients
Cobb Anesthesia, PC Anesthesiology Past Accepting new patients
Amnestic, LLC Anesthesiology PastSince Mar 1, 2012 Accepting new patients
Atlanta Colon and Rectal Surgery, PA Past Accepting new patients
Newnan Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Metro Atlanta Pain, LLC Pain Medicine Past Accepting new patients
Metro West Anesthesia Anesthesiology Past Accepting new patients
Tri-County Anesthesia, LLC Anesthesiology Past Accepting new patients
Mak Anesthesia Cobb LLC Anesthesiology Past Accepting new patients

Locations

2061 Peachtree Rd NE
Ste 300
Atlanta, GA 30309
Phone (404) 350-7955

2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

5671 Ptree Dunwoody Rd NE
Ste 800
Sandy Springs, GA 30342
Phone (404) 257-1415

960 Woodstock Pkwy
Ste 100
Woodstock, GA 30188
Phone (678) 483-8833

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: hsanusi19588@direct.emory.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1720060668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY",
            "address_2": "PMB 160 STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647505",
            "telephone_number": "770-920-6413",
            "fax_number": "678-974-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY",
            "address_2": "PMB 160 STE 202",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647505",
            "telephone_number": "770-920-6413",
            "fax_number": "678-974-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANUSI",
        "first_name": "H DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "036450",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "036450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000573185D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000573185F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491431789A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANI",
            "last_name": "SANUSI",
            "middle_name": "DAVID",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.