Active NPI
Kavita Rani Kongara, M.D.
- Gastroenterology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 063678
- Practice address
- 550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2212 - Phone
- (404) 881-1094
- Fax
- (404) 874-1249
- NPI assigned
- Mar 14, 2006
- Last updated
- Jan 17, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 197035 | NY | |
| Gastroenterology Physician | 207RG0100X | 063678 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2212
Mailing address
1955 Lake Park Dr SE
Suite 250
Smyrna, GA 30080-8858
Phone (678) 223-7726
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768114952 | Medicaid | GA | |
| 202I105712 | Other | GA | MEDICARE |
| 02040297 | Medicaid | NY |
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
- Gastroenterology
- Education
- University of Missouri, Kansas City, School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1110 W Peachtree St NW
Suite 840
Atlanta, GA 30309-3609
Phone (404) 888-7601
2520 Windy Hill Rd SE
Suite 102
Marietta, GA 30067-8633
Phone (770) 612-8165
488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2246
Phone (404) 881-1094
980 Johnson Ferry Rd
Suite 820
Atlanta, GA 30342-1608
Phone (404) 252-9307
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 44.91
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 23 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063678 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
| Winthrop Gastroenterology,PC | Gastroenterology | Past | Accepting new patients |
Locations
1110 W Peachtree St NW
Ste 840
Atlanta, GA 30309
Phone (404) 888-7601
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
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
980 Johnson Fy Rd NE
Ste 820
Sandy Springs, GA 30342
Phone (404) 252-9307
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
- kavita.kongara@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
-
dba Atlanta Gastroenterology Associates
- Gastroenterology Physician
- Atlanta, GA
- NPI 1124064118
-
- Gastroenterology Physician
- Mineola, NY
- NPI 1578573481
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University dba Emory Crawford Long Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1952370959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 LAKE PARK DR SE",
"address_2": "SUITE 250",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808858",
"telephone_number": "678-223-7726",
"fax_number": "678-388-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-881-1094",
"fax_number": "404-874-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONGARA",
"first_name": "KAVITA",
"middle_name": "RANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "197035",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "063678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768114952",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "202I105712",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02040297",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.