DR. HETAL KARSAN MD
NPI 1063402881
Internal Medicine - Gastroenterology in Atlanta, GA

Q: What is Hetal Karsan's NPI number?

The NPI number for Hetal Karsan is 1063402881. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Hetal Karsan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Hetal Karsan was last updated on January 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

5671 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342(404) 257-9000(404) 847-9792 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Hetal Karsan Md NPPES

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

DR. HETAL KARSAN MD (NPI 1063402881) is an individual gastroenterology provider in Atlanta, Georgia, licensed in Georgia (52756) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Indiana University School Of Medicine (1996).

NPPES Registry Identity

NPI1063402881

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. HETAL KARSANCredential: MD

Location Address5671 PEACHTREE DUNWOODY RD NE, SUITE 600Atlanta, GA 30342-5000

Mailing Address550 Peachtree Street, Suite 1620Atlanta, GA 30308 · (404) 885-7701 · Fax (404) 885-7777

Phone(404) 257-9000

Fax(404) 847-9792

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1996

Enumeration DateOctober 24, 2005

Last NPPES UpdateJanuary 14, 2011

✔ NPI 1063402881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in GA · 52756

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

5671 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Open in Google Maps ↗

Other Identifiers 3

Medicaid571656814AGA

Medicare ID-Type Unspecified10BDHDWGA

Medicare UPINH11449GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Hetal Karsan Md 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 ID749221661

PECOS Enrollment IDI20050520000083

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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

89 services88 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

54 services54 patients

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.

32 services31 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

27 services26 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

25 services25 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

22 services22 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 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.

17 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services15 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

14 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

14 services14 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

13 services13 patients

Biopsy of large bowel using a flexible endoscope 45380

12 services12 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

GEORGIA VASCULAR CLINIC AT SAINT JOSEPH'S, LLC

Surgery (Vascular Surgery)

5671 PEACHTREE DUNWOODY RD NE, SUITE 250
ATLANTA, GA 30342

Fulton County (404) 256-0170

DR. PAUL R. JEFFORDS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342

Fulton County (404) 847-9999

DR. STEVEN B. WERTHEIM M.D.

Orthopaedic Surgery

5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342

Fulton County (404) 847-9999

DR. ROBERT MICHAEL EISENBAND MD

Internal Medicine (Gastroenterology)

5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342

Fulton County (404) 257-9000

JENNIFER J. BRIDGES AT-C

Specialist/Technologist (Athletic Trainer)

5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA, GA 30342

Fulton County (404) 531-8590

AHI ATLANTA, LLC

Dietitian, Registered

5671 PEACHTREE DUNWOODY RD NE, SUITE 600
ATLANTA, GA 30342

Fulton County (404) 257-9000

BILLY GENE MIMS-GOODMAN CRNA

Nurse Anesthetist, Certified Registered

5671 PEACHTREE DUNWOODY RD NE, SUITE 680
ATLANTA, GA 30342

Fulton County (404) 705-6985

SUSANNA STANLEY PT

Physical Therapist

5671 PEACHTREE DUNWOODY RD NE, SUITE 950
ATLANTA, GA 30342

Fulton County (404) 531-8590

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 Hetal Karsan's NPI number?

The NPI number for Hetal Karsan is 1063402881. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Hetal Karsan located?

Hetal Karsan practices at 5671 Peachtree Dunwoody Rd NE Suite 600, Atlanta, GA 30342. The listed phone number is (404) 257-9000.

What is Hetal Karsan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Hetal Karsan enrolled in Medicare?

Yes. Hetal Karsan 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 Hetal Karsan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hetal Karsan 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 Hetal Karsan affiliated with any hospitals?

According to CMS data, Hetal Karsan is affiliated with Northside Hospital Forsyth, Emory University Hospital and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Hetal Karsan was last updated on January 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.