Active NPI
Viranuj Sueblinvong, M.D.
- Pulmonary Disease Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 061664
- Practice address
- 1525 Clifton Rd NE
4TH Floor
Atlanta, GA 30322-4200 - Phone
- (404) 778-2700
- NPI assigned
- Jun 4, 2006
- Last updated
- Sep 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-107280 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036-107280 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 036-107280 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 061664 | GA | |
| Pulmonary Disease Physician | 207RP1001X | 061664 | GA | Primary |
Addresses
Primary practice location
1525 Clifton Rd NE
4TH Floor
Atlanta, GA 30322-4200
Mailing address
Pulmonary Clinic
1365A Clifton Road, 4TH Floor
Atlanta, GA 30322-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670028950F | Medicaid | GA |
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
- Pulmonary Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
- Emory University Hospital
- Southeastern Regional Medical Center, Inc
- Emory University Hospital Midtown
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- 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 |
|---|---|---|---|
| 036-107280 | IL | MD | Internal Medicine Physician |
| 061664 | GA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians Intensivists of Georgia PC | Critical Care Medicine | Current | Accepting new patients |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Emory University | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Fl 4
Atlanta, GA 30322
Phone (404) 778-2010
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- vsueblinvong145413@cityofhope.direct-ci.com
- vsueblinvong92001@direct.emory.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Critical Care Medicine (Internal Medicine) Physician
- Macon, GA
- NPI 1376159590
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
dba City of Hope Cancer Center Atlanta
- General Acute Care Hospital
- Newnan, GA
- NPI 1235417288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1861431264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PULMONARY CLINIC",
"address_2": "1365A CLIFTON ROAD, 4TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 CLIFTON RD NE",
"address_2": "4TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303224200",
"telephone_number": "404-778-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUEBLINVONG",
"first_name": "VIRANUJ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-107280",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036-107280",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036-107280",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "061664",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "061664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "670028950F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.