Individual provider Active NPI

Pranav Kansara, MD

  • Interventional Cardiology Physician
  • Gainesville, GA
National Provider Identifier
1861654881
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
84532 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 534-2020
Fax
(770) 534-8025
NPI assigned
Jun 30, 2008
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 84532 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pkansara104026@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, GA, DE4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160624000744 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 2961717228 Reassigns benefits to 1 organization
I20170905001651 PA Practitioner - Cardiovascular Disease (Cardiology) 2961717228 Reassigns benefits to 2 organizations
I20200106001219 GA Practitioner - Interventional Cardiology 2961717228 Reassigns benefits to 1 organization
I20230623000705 DE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 2961717228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1 Centurian Dr
Suite 200
Newark, DE 19713-2150
Phone (302) 366-8600

1050 Industrial Dr
Middletown, DE 19709-2801
Phone (302) 366-8600

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

910 Foulk Rd
Wilmington, DE 19803-3158
Phone (302) 366-8600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians, LLC Cardiovascular Disease CurrentSince Jun 19, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 14, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 7, 2024 Accepting new patients
Excela Health Physician Practices, Inc Cardiovascular Disease Current Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Northeast Georgia Medical Center, Inc. CurrentSince Jan 27, 2022 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 8, 2019 Accepting new patients
Quantum Healthcare Medical Associates Inc. CurrentSince Feb 1, 2017 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 8, 2019 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 14, 2017 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Mar 7, 2024 Accepting new patients
Northeast Georgia Medical Center, Inc. Current Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1 Centurian Dr
Ste 200
Newark, DE 19713
Phone (302) 366-5658

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

910 Foulk Rd
Wilmington, DE 19803
Phone (302) 477-1536

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1250 S Cedar Crest Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-8275

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

410 Pellis Rd
Ste 2A
Greensburg, PA 15601
Phone (724) 689-1070

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: pranavkansara@cppa.allscriptsdirect.net
  • Direct secure messaging: pranav.kansara.p3@direct.chv.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1861654881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-534-2020",
            "fax_number": "770-534-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSARA",
        "first_name": "PRANAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "84532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkansara104026@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305013715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.