Individual provider Active NPI

Reshma Motiwala, M.D.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1992188908
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31530 Issued in OK
Practice address
3379 Peachtree Rd NE Ste 975
Atlanta, GA 30326-1031
Phone
(678) 635-9830
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 31530 OK
Child & Adolescent Psychiatry Physician 2084P0804X 31530 OK
Psychiatry Physician 2084P0800X 31530 OK Primary

Addresses

Primary practice location

3379 Peachtree Rd NE Ste 975
Atlanta, GA 30326-1031

Mailing address

5126 Peachtree Blvd # 531
Chamblee, GA 30341-2722
Phone (405) 573-6602

Other practice location 1

920 Stanton L Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-4219

Other practice location 2

2601 Spencer Rd
Spencer, OK 73084-3649
Phone (405) 427-2441

Other practice location 3

900 E Main St
Norman, OK 73071
Phone (405) 573-6602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, MI2 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
I20190831000165 OK Practitioner - Psychiatry 0345579264 Reassigns benefits to 2 organizations
I20231006000650 MI Practitioner - Psychiatry 0345579264 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management CurrentSince Sep 5, 2023 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Sep 5, 2023 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Sep 3, 2019 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2020 Accepting new patients
Stillwater Medical Center Authority CurrentSince Oct 1, 2020 Accepting new patients
Vizion Health Oklahoma Past Accepting new patients

Locations

1312 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-3000

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

2801 NW 61st St
Oklahoma City, OK 73112
Phone (405) 842-6601

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

2601 Spencer Rd
Spencer, OK 73084
Phone (405) 427-2441

1201 S Adams St
Stillwater, OK 74074
Phone (405) 533-2060

Interoperability endpoints

  • Direct secure messaging: reshma.motiwala.p1@direct.smc.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1992188908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 PEACHTREE BLVD # 531",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412722",
            "telephone_number": "405-573-6602",
            "fax_number": "405-573-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 975",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "678-635-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Stanton L Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-4219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Spencer Rd",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "OK",
            "postal_code": "730843649",
            "country_code": "US",
            "telephone_number": "405-427-2441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Main St",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73071",
            "country_code": "US",
            "telephone_number": "405-573-6602",
            "fax_number": "405-573-6684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTIWALA",
        "first_name": "RESHMA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OK",
            "license": "31530",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "31530",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "31530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.