Individual provider Active NPI

Masih Uddin, M.D.

  • Cardiovascular Disease Physician
  • Gainesville, GA
National Provider Identifier
1760484562
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
042751 Issued in GA
Practice address
1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501
Phone
(678) 825-3685
Fax
(678) 928-5955
NPI assigned
Aug 11, 2005
Reactivated
Apr 11, 2006
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 042751 GA Primary

Addresses

Primary practice location

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501

Mailing address

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501-3806
Phone (678) 825-3685

Other practice location 1

1270 Prince Ave
Suite 103
Athens, GA 30606-2762
Phone (706) 369-1959

Other practice location 2

1475 Jesse Jewell Pkwy NE Ste 300
Gainesville, GA 30501
Phone (678) 825-3685

Other identifiers 1

IdentifierTypeStateIssuer
00729418FMedicaidGA

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
I20050202000257 GA Practitioner - Cardiovascular Disease (Cardiology) 0547211054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Clinic of North Georgia PCGroup PAC ID 9830350735, 11 clinicians

Practice addresses (Care Compare)

1475 Jesse Jewell Pkwy NE
Suite 300
Gainesville, GA 30501-3806
Phone (678) 430-3110

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
85.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Clinic of North Georgia PC Cardiovascular Disease CurrentSince Aug 28, 2019 Accepting new patients
St. Mary's Hospital, Inc. Past Accepting new patients

Locations

5670 Old Winder Hwy
Ste 200
Braselton, GA 30517
Phone (404) 593-0090

638 441 Historic Hwy N
Ste C
Demorest, GA 30535
Phone (706) 754-3022

1287 Sims St
Gainesville, GA 30501
Phone (855) 462-8264

1475 Jesse Jewell Pkwy NE
#300
Gainesville, GA 30501
Phone (678) 825-3685

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

475 Philip Blvd
Ste 101
Lawrenceville, GA 30046
Phone (678) 226-6212

475 Philip Blvd
Ste 200
Lawrenceville, GA 30046
Phone (678) 226-6201

771 Old Norcross Rd
Ste 310
Lawrenceville, GA 30046
Phone (770) 513-5999

4245 Johns Creek Pkwy
Ste D
Suwanee, GA 30024
Phone (770) 495-3820

317 Resource Pkwy
Winder, GA 30680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1760484562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "678-825-3685",
            "fax_number": "678-928-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 JESSE JEWELL PKWY NE STE 300",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "678-825-3685",
            "fax_number": "678-928-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Prince Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062762",
            "country_code": "US",
            "telephone_number": "706-369-1959",
            "fax_number": "706-369-1979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Jesse Jewell Pkwy NE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "678-825-3685",
            "fax_number": "678-928-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "MASIH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2019-08-14",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "042751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00729418F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.