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MEGHANA BHATTA KUMAR M.D.
NPI 1043639545
Internal Medicine - Endocrinology, Diabetes & Metabolism in Conyers, GA

Active since April 11, 2014PECOS EnrolledAccepts Medicare Assignment
1501 MILSTEAD RD NE, CONYERS, GA 30012(140) 454-5234 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 29, 2020, May 8, 2019 (2 updates tracked since 2019).

About Meghana Bhatta Kumar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEGHANA BHATTA KUMAR M.D. (NPI 1043639545) is an individual endocrinology, diabetes & metabolism provider in Conyers, Georgia, licensed in Georgia (82537) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043639545
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMEGHANA BHATTA KUMARCredential: M.D.
Location Address1501 MILSTEAD RD NEConyers, GA 30012-3838
Mailing Address163 Park DrDecatur, GA 30030-4482 · (404) 545-2345
Phone(140) 454-5234
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014
Enumeration DateApril 11, 2014
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1043639545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 82537
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1501 MILSTEAD RD NE, Conyers, GA 30012
Open in Google Maps ↗

Other Names 1

Former Name (1)Meghana Bhatta M.d.

Secondary Practice Locations 2

Location 11380 Milstead Ave NE Ste HConyers, GA 30012-3864 · Phone (770) 388-0118 · Fax (770) 388-9441
Location 2101 Manning Dr, Room 1017Chapel Hill, NC 27514-4220 · Phone (404) 545-2345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Meghana Bhatta Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193022556
PECOS Enrollment IDI20200320002841
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
468 services219 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
282 services143 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
277 services139 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
224 services127 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
129 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110046
Location2151 W Spring StreetMonroe, GA 30655 · Walton County
Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers14 claims59 services$6.64 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers311 claims313 services$180.61 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers21 claims21 services$177.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
SOUTHERN PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
1501 MILSTEAD RD NE, SUITE 140
CONYERS, GA 30012
Rockdale County (770) 632-3730
DR. KEVIN H PEACOCK MD
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
DR. SHERINE J THOMAS M.D.
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
NADER A DBOUK MD
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, SUITE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
WILDER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (770) 761-8097
DAVID S RABIN M.D.
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, STE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meghana Kumar's NPI number?

The NPI number for Meghana Kumar is 1043639545. It was assigned to this individual provider in the NPPES registry on April 11, 2014. The provider is also known as Meghana Bhatta M.D..

Where is Meghana Kumar located?

Meghana Kumar practices at 1501 Milstead Rd NE, Conyers, GA 30012. The listed phone number is (140) 454-5234.

What is Meghana Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Meghana Kumar enrolled in Medicare?

Yes. Meghana Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Meghana Kumar accept?

Health plans from Alliant Health Plans, Inc. list Meghana Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Meghana Kumar affiliated with any hospitals?

According to CMS data, Meghana Kumar is affiliated with Piedmont Newton Hospital, Piedmont Walton Hospital, Emory Decatur Hospital, Piedmont Rockdale Hospital and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Meghana Kumar was last updated on June 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.