Active NPI
Pramod K Kaila, MD
- Diagnostic Radiology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 42303
- Practice address
- 790 Church St NE Ste 400
Marietta, GA 30060-8957 - Phone
- (770) 514-2776
- NPI assigned
- Feb 16, 2006
- Last updated
- Jul 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 42303 | GA | Primary |
Addresses
Primary practice location
790 Church St NE Ste 400
Marietta, GA 30060-8957
Mailing address
PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 952-8899
Other practice location 1
2701 N Decatur Rd
Decatur, GA 30033-5918
Phone (404) 564-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000710036A | 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
- Diagnostic Radiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.27 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 67.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42303 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Dekalb PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Medical Imagery of Newnan, PC | Diagnostic Radiology | Current | Accepting new patients |
| Fayette Community Hospital, Inc. | Past | Accepting new patients | |
| Synergy Radiology, LLC | Past | Accepting new patients | |
| Sinorien Healthcare Service | Past | Accepting new patients |
Locations
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
101 Yorktown Dr
Ste 105
Fayetteville, GA 30214
Phone (770) 716-1111
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1305 Lakes Pkwy
Ste 115
Lawrenceville, GA 30043
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Organizations & group practices 5
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.
-
dba Piedmont South Imaging
- Diagnostic Radiology Physician
- Newnan, GA
- NPI 1447268842
-
- Diagnostic Radiology Physician
- Decatur, GA
- NPI 1245206119
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
dba Montreal Medical Imaging
- Radiology Clinic/Center
- Tucker, GA
- NPI 1689706186
-
dba American Health Imaging of Douglasville, LLC
- Radiology Clinic/Center
- Douglasville, GA
- NPI 1588229918
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1871567628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462063157",
"telephone_number": "770-952-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608957",
"telephone_number": "770-514-2776"
}
],
"practiceLocations": [
{
"address_1": "2701 N Decatur Rd",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300335918",
"country_code": "US",
"telephone_number": "404-564-5400",
"fax_number": "404-564-5403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAILA",
"first_name": "PRAMOD",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "42303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000710036A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Christina Nicole Kaddah, APRN
- Shawn Michael Kade, PMHNP-BC
- Kahn Family Chiropractic Center
- Daniel S. Kahn, D.C.
- Jill Kahn, D.C.
- Brian Thomas Kaineg, M.D.
- Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente West Marietta)
- Barbara A Kaiser, D.C. P.C.
- Meenakshi Hema Kakarala, MD
- Kaleidoscope Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.