Individual provider Active NPI

Aditya Shitalkumar Rali

  • Retina Specialist (Ophthalmology) Physician
  • Washington, DC
National Provider Identifier
1972009827
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
98735 Issued in GA
Practice address
660 Pennsylvania Ave SE Ste 200
Washington, DC 20003-4361
Phone
(202) 331-1188
NPI assigned
Mar 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 98735 GA
Retina Specialist (Ophthalmology) Physician 207WX0107X MD210001930 DC
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X 98735 GA Primary

Addresses

Primary practice location

660 Pennsylvania Ave SE Ste 200
Washington, DC 20003-4361

Mailing address

1785 Holly Oak LN
Chattanooga, TN 37421-3497

Other practice location 1

665 Duluth Hwy Ste 401
Lawrenceville, GA 30046-4303
Phone (423) 316-6043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220707000317 MD Practitioner - Ophthalmology 4082964663
I20240529001635 GA Practitioner - Ophthalmology 4082964663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Retina, PCGroup PAC ID 1254328248, 23 clinicians

Practice addresses (Care Compare)

1462 Montreal Rd
Suite 412
Tucker, GA 30084-6932
Phone (404) 299-5209

1835 Savoy Dr
Suite 100
Chamblee, GA 30341-1073
Phone (888) 427-3842

575 Professional Dr
Suite 330
Lawrenceville, GA 30045-3300
Phone (678) 405-0922

990 Sanders Rd
Suite 100
Cumming, GA 30041-5960
Phone (678) 679-4830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
99.47
Promoting interoperability
100
Improvement activities
40
Cost
77.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Retina, PC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1255 Friendship Rd
Ste 160
Braselton, GA 30517
Phone (678) 528-1101

100 Market Place Blvd
Ste 304
Cartersville, GA 30121
Phone (470) 274-2030

1835 Savoy Dr
Ste 100
Chamblee, GA 30341
Phone (678) 298-9484

990 Sanders Rd
#100
Cumming, GA 30041
Phone (678) 679-4830

6095 Professional Pkwy
Ste B102
Douglasville, GA 30134
Phone (678) 303-0136

1488 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (404) 875-9011

575 Professional Dr
Ste 330
Lawrenceville, GA 30046
Phone (404) 255-9096

6055 Lakeside Commons Dr
Ste 310
Macon, GA 31210
Phone (478) 238-9733

833 Campbell Hill St NW
Ste 300
Marietta, GA 30060
Phone (770) 218-1888

403 Westpark Ct
Ste 110
Peachtree Cty, GA 30269
Phone (770) 486-1633

1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096

350 Country Club Dr
Ste A
Stockbridge, GA 30281
Phone (770) 692-4000

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: arali@garetina.intellechartdirect.net

Organizations & group practices 1

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 1

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1972009827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 HOLLY OAK LN",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PENNSYLVANIA AVE SE STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200034361",
            "telephone_number": "202-331-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Duluth Hwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464303",
            "country_code": "US",
            "telephone_number": "423-316-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALI",
        "first_name": "ADITYA",
        "middle_name": "SHITALKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-31",
        "last_updated": "2024-05-22",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "98735",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "DC",
            "license": "MD210001930",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "GA",
            "license": "98735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.