Individual provider Active NPI

Bernard N. Orewa, MD

  • Internal Medicine Physician
  • Mableton, GA
National Provider Identifier
1780742510
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
051527 Issued in GA
Practice address
5987 Mableton Pkwy
Mableton, GA 30126-3347
Phone
(770) 941-4012
Fax
(770) 941-7433
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 051527 GA Primary

Addresses

Primary practice location

5987 Mableton Pkwy
Mableton, GA 30126-3347

Mailing address

5987 Mableton Pkwy
Mableton, GA 30126-3347
Phone (770) 941-4012

Other identifiers 5

IdentifierTypeStateIssuer
01034588OtherGAAMERIGROUP
203837351OtherGABLUE SHIELD
455155851AMedicaidGA
178074OtherGAUNITED HEALTHCARE UPIN
P00471327OtherGARAILROAD MEDICARE

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
I20070111000110 GA Practitioner - Internal Medicine 8729088026 Practice locations: Mableton, GA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5987 Mableton Swpkwy
Mableton, GA 30126-3464
Phone (770) 941-4012

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: bernard.orewa.1@10159.direct.athenahealth.com

Hospital & facility affiliations 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1780742510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5987 MABLETON PKWY",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263347",
            "telephone_number": "770-941-4012",
            "fax_number": "770-941-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5987 MABLETON PKWY",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263347",
            "telephone_number": "770-941-4012",
            "fax_number": "770-941-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREWA",
        "first_name": "BERNARD",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01034588",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "203837351",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "455155851A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE UPIN",
            "identifier": "178074",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00471327",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

Verify at the official NPI Registry.