Searle Videlefsky, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Lawrenceville, GA
NPI 1750391306 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1750391306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 42477 (GA)
- Practice address
- 755 Walther Rd
Lawrenceville, GA 30046 - Phone
- (770) 962-0399
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northside CV Professional Services LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
1132 Athens Hwy
Suite 207
Grayson, GA 30017-1760
Phone (678) 389-4147
1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2357
2800 Buford Dr
Suite 320
Buford, GA 30519-5107
Phone (770) 962-0399
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
3855 Pleasant Hill Rd
Suite 250
Duluth, GA 30096-8093
Phone (770) 858-1658
4365 Johns Creek Pkwy
Suite 450
Suwanee, GA 30024-6089
Phone (770) 661-0336
755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (678) 272-3648
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
- Northside Hospital Forsyth
- Northside Hospital
- Piedmont Eastside Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.66 of 100
- Quality
- 58.46
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 77.92
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050714000095 | GA | Practitioner - Cardiovascular Disease (Cardiology) | 8426084120 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42477 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwinnett Medical Group, Inc | Current | Accepting new patients | |
| Northside CV Professional Services LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Northside Hospital, Inc. | Current |
Accepting new patients | |
| Gwinnett Consultants in Cardiology | Current | Accepting new patients | |
| Gwinnett Pathology Assoc PC | Current | Accepting new patients | |
| Northside Hospital, Inc. | Current |
Accepting new patients | |
| Northside Hospital, Inc. | Current | Accepting new patients | |
| Cardiovascular Group, PC | Cardiovascular Disease | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294
3855 Pleasant Hill Rd
Ste 250
Duluth, GA 30096
Phone (770) 497-1413
1132 Athens Hwy
Ste 207
Grayson, GA 30017
Phone (678) 312-0300
631 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (678) 312-3290
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
2200 Medical Center Blvd
Ste 400
Lawrenceville, GA 30046
Phone (678) 272-3699
755 Walther Rd
Lawrenceville, GA 30046
1608 Tree Ln
Bldg C
Snellville, GA 30078
Phone (678) 344-4472
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 42477 | GA | Yes |
Addresses
Primary practice location
755 Walther Rd
Lawrenceville, GA 30046
Mailing address
755 Walther Rd
Lawrenceville, GA 30046-8725
Phone (770) 962-0399
Other practice location 1
755 Walther Rd
Lawrenceville, GA 30046
Phone (770) 962-0399
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000720519A | Medicaid | GA |
Other providers in Lawrenceville, GA
- James Robert Vernon
- Alessandra Vializ-Arroyo
- Stacee Vickers
- Catherine Joy Victor
- Neill Videlefsky
- View Point Health
- View Point Health
- View Point Health
- View Point Health
- View Point Health- Lawrenceveille Center
All providers in Lawrenceville, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.