Individual provider Active NPI

Dimple Raina, M.D.

  • Gastroenterology Physician
  • Suwanee, GA
National Provider Identifier
1891918108
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
56637 Issued in GA
Practice address
4275 Johns Creek Parkway
Suite a
Suwanee, GA 30024-9117
Phone
(678) 475-1606
Fax
(678) 475-1615
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 56637 GA Primary

Addresses

Primary practice location

4275 Johns Creek Parkway
Suite a
Suwanee, GA 30024-9117

Mailing address

4275 Johns Creek Parkway
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606

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
I20091116000292 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 9830237692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aga, LLCGroup PAC ID 2365431350, 138 clinicians
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

4275 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Upper gastrointestinal (GI) endoscopy for acid reflux78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56637GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga, LLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients
Hudes Endoscopy Center LLC Current Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince Jan 1, 2016 Accepting new patients

Locations

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610

5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342

5671 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30342
Phone (404) 252-9307

1955 Lake Park Dr SE
Ste 250
Smyrna, GA 30080

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
  • Direct secure messaging: dimple.raina@ud.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1891918108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 JOHNS CREEK PARKWAY",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249117",
            "telephone_number": "678-475-1606",
            "fax_number": "678-475-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 JOHNS CREEK PARKWAY",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249117",
            "telephone_number": "678-475-1606",
            "fax_number": "678-475-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "DIMPLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "56637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.