Individual provider Active NPI

Vishal N Ratkalkar, M.D.

  • Nephrology Physician
  • Newnan, GA
National Provider Identifier
1932189503
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
67596 Issued in GA
Practice address
2326 Highway 34 E Ste 201
Newnan, GA 30265-1328
Phone
(678) 664-1545
Fax
(770) 838-9108
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67596 GA
Internal Medicine Physician 207R00000X 46855-020 WI
Nephrology Physician 207RN0300X 67596 GA Primary

Addresses

Primary practice location

2326 Highway 34 E Ste 201
Newnan, GA 30265-1328

Mailing address

2326 Highway 34 E Ste 201
Newnan, GA 30265-1328
Phone (167) 866-4154

Other identifiers 1

IdentifierTypeStateIssuer
34543700MedicaidWI

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
I20120731000236 GA Practitioner - Nephrology 2769452986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Georgia Renal and Hypertension Care IncGroup PAC ID 3678889425, 2 clinicians

Practice addresses (Care Compare)

115 Sumner Rd
FL 2
Fayetteville, GA 30214-4758
Phone (678) 664-1545

195 Parkwood Cir
Carrollton, GA 30117-8756
Phone (678) 664-1545

2326 Hwy 34 E
Suite 201
Newnan, GA 30265-1328
Phone (678) 664-1545

Hospital & facility affiliations

  • DaVita Newnan Dialysis Dialysis facility, Newnan, GA, CCN 112689
  • DaVita Peachtree City Dialysis Dialysis facility, Peachtree City, GA, CCN 112815
  • DaVita Poplar Dialysis Dialysis facility, Newnan, GA, CCN 852560
  • DaVita West Clayton Dialysis Dialysis facility, Fayetteville, GA, CCN 852582
  • DaVita Fairburn Palmetto Dialysis Dialysis facility, Palmetto, GA, CCN 852567
  • Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67596GAMDInternal Medicine Physician
46855-020WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Renal and Hypertension Care Nephrology CurrentSince Feb 24, 2015 Accepting new patients
Carroll County Nephrology LLC Nephrology Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine Past Accepting new patients
Pims S.C. Internal Medicine Past Accepting new patients

Locations

928 S Park St
Ste H
Carrollton, GA 30117
Phone (414) 736-5830

157 Clinic Ave
Ste 203
Carrollton, GA 30117
Phone (770) 832-0429

195 Parkwood Cir
Carrollton, GA 30117
Phone (404) 876-9636

115 Sumner Rd
Fl 2
Fayetteville, GA 30214
Phone (678) 664-1545

115 Oak Hill Blvd
#200
Newnan, GA 30265
Phone (678) 664-1545

2326 Highway 34 E
Ste 201
Newnan, GA 30265
Phone (414) 736-5830

Organizations & group practices 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1932189503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 HIGHWAY 34 E STE 201",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651328",
            "telephone_number": "167-866-4154",
            "fax_number": "770-838-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 HIGHWAY 34 E STE 201",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651328",
            "telephone_number": "678-664-1545",
            "fax_number": "770-838-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATKALKAR",
        "first_name": "VISHAL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "67596",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "46855-020",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "67596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34543700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.