Active NPI
Sumir Mukesh Brahmbhatt, MD
- Rheumatology Physician
- Douglasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 93723
- Practice address
- 6002 Professional Pkwy Ste 280
Douglasville, GA 30134-5627 - Phone
- (770) 333-2035
- Fax
- (770) 999-2842
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 58787 | AZ | |
| Rheumatology Physician | 207RR0500X | 93723 | GA | Primary |
Addresses
Primary practice location
6002 Professional Pkwy Ste 280
Douglasville, GA 30134-5627
Mailing address
6002 Professional Pkwy Ste 280
Douglasville, GA 30134-5627
Phone (770) 333-2035
Other practice location 1
Department of Medicine MSC 10-5550
1 University of New Mexico
Albuquerque, NM 87131-5001
Phone (505) 272-4761
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbrahmbhatt504360@directwellstar.org | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4022
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
6043 Prestley Mill Rd
Douglasville, GA 30134-2280
6043 Prestley Mill Rd C
Douglasville, GA 30134-2280
Phone (770) 920-3076
Hospital & facility affiliations
- Wellstar Douglas Medical Center
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93723 | GA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
6002 Professional Pkwy
Ste 280
Douglasville, GA 30134
Phone (770) 428-3995
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Interoperability endpoints
- sbrahmbhatt504360@directwellstar.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
-
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1851749378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 PROFESSIONAL PKWY STE 280",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345627",
"telephone_number": "770-333-2035",
"fax_number": "770-999-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 PROFESSIONAL PKWY STE 280",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301345627",
"telephone_number": "770-333-2035",
"fax_number": "770-999-2842"
}
],
"practiceLocations": [
{
"address_1": "Department of Medicine MSC 10-5550",
"address_2": "1 University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871315001",
"country_code": "US",
"telephone_number": "505-272-4761",
"fax_number": "505-272-3624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAHMBHATT",
"first_name": "SUMIR",
"middle_name": "MUKESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AZ",
"license": "58787",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "93723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbrahmbhatt504360@directwellstar.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "6002 Professional Pkwy Ste 280",
"city": "Douglasville",
"state": "GA",
"country_code": "US",
"postal_code": "301345627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.