Active NPI
Fayyaz Barodawala, M.D.
- Vascular & Interventional Radiology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 68755
- Practice address
- 770 Pine St Ste 290
Macon, GA 31201-7516 - Phone
- (478) 743-1458
- NPI assigned
- Jun 29, 2006
- Last updated
- Feb 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 68755 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 68755 | GA | Primary |
Addresses
Primary practice location
770 Pine St Ste 290
Macon, GA 31201-7516
Mailing address
770 Pine St Ste 290
Macon, GA 31201-7516
Phone (478) 743-1458
Other practice location 1
215 Sheraton Blvd Ste 2
Macon, GA 31210-1359
Phone (478) 757-8868
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
- State University of New York at Buffalo School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
770 Pine St
L15
Macon, GA 31201-7519
Phone (478) 746-1020
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Navicent Health Baldwin
- Coliseum Medical Centers, LLC, Dba
- Atrium Health Navicent Peach
- Piedmont Macon North Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68755 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Magnetic Imaging Center LTD | Diagnostic Radiology | Current | Accepting new patients |
| Central Georgia MRI LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Macon PC | Diagnostic Radiology | Current | Accepting new patients |
| Buffalo Ultrasound, Idtf Inc | Current | Accepting new patients | |
| Georgia Radiology Imaging Consultants, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| White Plains Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Center Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
| Univ of Penn Community Radiology | Diagnostic Radiology | Past | Accepting new patients |
Locations
2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
215 Sheraton Blvd
#2
Macon, GA 31210
Phone (478) 743-1458
770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458
770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1114908522
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1114900545
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1679563035
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1831461771
GA
-
- Physiological Laboratory
- Williamsville, NY
- NPI 1790892826
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
-
- Diagnostic Radiology Physician
- Wayne, PA
- NPI 1740293232
-
- Diagnostic Radiology Physician
- White Plains, NY
- NPI 1245222603
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Piedmont Macon North Hospital
- General Acute Care Hospital
- Macon, GA
- NPI 1811940976
-
dba Atrium Health Navicent Baldwin
- General Acute Care Hospital
- Milledgeville, GA
- NPI 1841701562
-
dba Atrium Health Navicent The Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
-
dba Atrium Health Navicent Peach
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1942238084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458"
}
],
"practiceLocations": [
{
"address_1": "215 Sheraton Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312101359",
"country_code": "US",
"telephone_number": "478-757-8868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARODAWALA",
"first_name": "FAYYAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2024-02-16",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "68755",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "68755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.