Individual provider Active NPI

Sonny Sandeep Singh Dosanjh, MD

  • Physical Medicine & Rehabilitation Physician
  • Kennesaw, GA
National Provider Identifier
1952596850
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
066686 Issued in GA
Practice address
2911 George Busbee Pkwy NW
Suite 50
Kennesaw, GA 30144-6908
Phone
(844) 328-4624
Fax
(770) 882-2576
NPI assigned
Sep 13, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 066686 GA Primary
Interventional Pain Medicine Physician 208VP0014X 66686 GA

Addresses

Primary practice location

2911 George Busbee Pkwy NW
Suite 50
Kennesaw, GA 30144-6908

Mailing address

2911 George Busbee Pkwy NW
Suite 50
Kennesaw, GA 30144-6908

Other identifiers 1

IdentifierTypeStateIssuer
03136770DMedicaidGA

Other names 1

  • Sandeep S Dosanjh Other name

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
I20121015000530 GA Practitioner - Physical Medicine and Rehabilitation 1052561776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians
Medici Medical ArtsGroup PAC ID 0446574883, 5 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1699 Hwy 124 N
Suite 100
Snellville, GA 30078-7921
Phone (678) 218-6702

2911 George Busbee Pkwy NW
Kennesaw, GA 30144-6908
Phone (844) 328-4624

390 Ernest W Barrett Pkwy NW
Suite 4
Kennesaw, GA 30144-4989
Phone (770) 426-9945

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as individual
Quality
76.29
Improvement activities
40
Cost
59.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66686GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medici Medical Arts Interventional Pain Medicine CurrentSince Jul 21, 2014 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 23, 2019 Accepting new patients
Medici Surgical Center Gwinnett, LLC CurrentSince Apr 17, 2020 Accepting new patients
Atlanta Medical Clinic L L C Physical Medicine & Rehabilitation CurrentSince Dec 10, 2012 Accepting new patients
Medici Surgical Center, LLC CurrentSince Jun 20, 2018 Accepting new patients

Locations

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

1801 Peachtree St NE
Ste 250
Atlanta, GA 30309
Phone (404) 323-3233

197 14th St NW
Ste 300
Atlanta, GA 30318
Phone (404) 872-8837

3200 Downwood Cir NW
Ste 520
Atlanta, GA 30327
Phone (404) 355-0933

2911 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (404) 759-0590

2911 George Busbee Pkwy NW
Ste 50
Kennesaw, GA 30144
Phone (770) 425-1186

792 Church St NE
Ste 100
Marietta, GA 30060

792 Church St NE
Ste 101
Marietta, GA 30060
Phone (770) 422-9856

7100 Peachtree Dunwoody Rd
Ste 100
Sandy Springs, GA 30328
Phone (770) 392-9299

2220 Wisteria Dr
Ste 100
Snellville, GA 30078

2220 Wisteria Dr
Ste 101
Snellville, GA 30078
Phone (678) 836-2428

203 Woodpark Pl
Ste B200
Woodstock, GA 30188
Phone (770) 926-6686

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8922/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sonny.dosanjh.1@8922.direct.athenahealth.com
  • Direct secure messaging: sonny.dosanjh.2@8922.direct.athenahealth.com
  • Direct secure messaging: sonny.dosanjh.3@8922.direct.athenahealth.com
  • Direct secure messaging: sonny.dosanjh.4@8922.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1952596850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 GEORGE BUSBEE PKWY NW",
            "address_2": "SUITE 50",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 GEORGE BUSBEE PKWY NW",
            "address_2": "SUITE 50",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446908",
            "telephone_number": "844-328-4624",
            "fax_number": "770-882-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSANJH",
        "first_name": "SONNY",
        "middle_name": "SANDEEP SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "066686",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "66686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03136770D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDEEP",
            "last_name": "DOSANJH",
            "middle_name": "S",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.