Individual provider Active NPI

Octav Cristea, M.D.

  • Urology Physician
  • Atlanta, GA
National Provider Identifier
1891176251
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
81354 Issued in GA
Practice address
1365 Clifton Road Northeast
Building B, 6TH Floor
Atlanta, GA 30322
Phone
(855) 366-7989
Fax
(404) 727-3660
NPI assigned
Jun 11, 2015
Reactivated
Aug 1, 2018
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 81354 GA
Urology Physician 208800000X 81354 GA Primary

Addresses

Primary practice location

1365 Clifton Road Northeast
Building B, 6TH Floor
Atlanta, GA 30322

Mailing address

101 Woodruff Circle
Suite 5105 WMB
Atlanta, GA 30322
Phone (404) 712-1820

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190202000073 GA Practitioner - General SurgeryPractitioner - Urology 4688911308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Urology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
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

LicenseStateTypeSpecialty
81354GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Transplant Surgery CurrentSince Oct 30, 2018 Accepting new patients
Choa Multispecialty, LLC Current Accepting new patients
Choa Hospital Based, LLC CurrentSince Jan 20, 2023 Accepting new patients
Emory Health Care Past Accepting new patients
Emory University Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1365 Clifton Rd NE
Bldg B
Atlanta, GA 30322
Phone (404) 778-2020

1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112

2015 Upper Gate Dr NE
Atlanta, GA 30322
Phone (404) 778-2400

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

Interoperability endpoints

  • Direct secure messaging: ocristea36657@direct.emory.org

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.

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1891176251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODRUFF CIRCLE",
            "address_2": "SUITE 5105 WMB",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-712-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON ROAD NORTHEAST",
            "address_2": "BUILDING B, 6TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "855-366-7989",
            "fax_number": "404-727-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTEA",
        "first_name": "OCTAV",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2018-09-27",
        "deactivation_date": "2015-12-11",
        "reactivation_date": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "GA",
            "license": "81354",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "81354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.