Joseph Kundukulam, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

89776 Issued in GA

Practice address

960 Holcomb Bridge Rd Ste 150
Roswell, GA 30076-1963

Phone

(770) 988-7246

Fax

(770) 988-7247

NPI assigned

May 7, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pain Management

Education

University of Alabama School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Align Spine and Pain Institute LLCGroup PAC ID 6709270200, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJJGCD

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.

• Align Spine and Pain Institute LLC

  dba Align Spine and Joint Specialists LLC

  • Pain Medicine (Anesthesiology) Physician
  • Roswell, GA
  • NPI 1457011199
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kennestone Hospital, Inc.

  dba Wellstar Windy Hill Hospital

  • Long Term Care Hospital
  • Marietta, GA
  • NPI 1700853041

  Long-term care hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1871938670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 HOLCOMB BRIDGE RD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761963",
            "telephone_number": "770-988-7246",
            "fax_number": "770-988-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 HOLCOMB BRIDGE RD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761963",
            "telephone_number": "770-988-7246",
            "fax_number": "770-988-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDUKULAM",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "89776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KRN Services LLC
• Monica Luise Krogmann, DPT
• Wendy Krutul Jones, D.C.
• Cristal Daisy Kudiwu, M.D.
• Charlotte V Kulkin, FNP
• Joanne Kuri
• Sharon B. Kurkis, PT
• Ashley Jacob Kuruvilla, FNP-C
• Linda Chacko Kuzhippala, M.D.
• Allison May Kuzma, DPT

• Pain Medicine (Anesthesiology) Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.