Individual provider Active NPI

Bharat Kondragunta Rao, M.D.

  • Gastroenterology Physician
  • Johns Creek, GA
National Provider Identifier
1982040358
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
94618 Issued in GA
Practice address
11315 Johns Creek Pkwy Ste 400
Johns Creek, GA 30097-2647
Phone
(770) 227-2222
Fax
(770) 227-2220
NPI assigned
May 13, 2013
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 67567-20 WI
Gastroenterology Physician 207RG0100X 94618 GA Primary

Addresses

Primary practice location

11315 Johns Creek Pkwy Ste 400
Johns Creek, GA 30097-2647

Mailing address

11315 Johns Creek Pkwy Ste 400
Johns Creek, GA 30097-2647
Phone (770) 227-2222

Other practice location 1

2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, 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
I20200702001821 WI Practitioner - GastroenterologyPractitioner - Internal Medicine 6103059183 Reassigns benefits to 1 organization
I20230322001478 GA Practitioner - Gastroenterology 6103059183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians
Aga, LLCGroup PAC ID 2365431350, 138 clinicians

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

11315 Johns Creek Pkwy
Suite 400
Johns Creek, GA 30097-2647
Phone (770) 227-2222

4275 Johns Creek Pkwy
Suite a
Suwanee, GA 30024-9117
Phone (678) 475-1606

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy53
Upper gastrointestinal (GI) endoscopy for acid reflux71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC Gastroenterology CurrentSince Apr 3, 2023 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Jul 7, 2020 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Mar 2, 2023 Accepting new patients

Locations

3180 North Point Pkwy
Alpharetta, GA 30005
Phone (770) 559-8725

3180 North Point Pkwy
Ste 511
Alpharetta, GA 30005

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

3855 Pleasant Hill Rd
Ste 360
Duluth, GA 30096
Phone (678) 745-3030

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: bharat.rao@ud.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/

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.

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1982040358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 JOHNS CREEK PKWY STE 400",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972647",
            "telephone_number": "770-227-2222",
            "fax_number": "770-227-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 JOHNS CREEK PKWY STE 400",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972647",
            "telephone_number": "770-227-2222",
            "fax_number": "770-227-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 W Kinnickinnic River Pkwy Ste 1080",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532153689",
            "country_code": "US",
            "telephone_number": "414-908-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "BHARAT",
        "middle_name": "KONDRAGUNTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "67567-20",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "94618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.