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DR. BIREN JOSHI M.D.
NPI 1063440451
Internal Medicine - Nephrology in Lawrenceville, GA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
16.73/100
CMS Quality Rating
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046(404) 645-7150 Get Directions Write a Review

NPPES record last updated: June 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Biren Joshi M.d. NPPES

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

DR. BIREN JOSHI M.D. (NPI 1063440451) is an individual nephrology provider in Lawrenceville, Georgia, licensed in Georgia (053562) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1063440451
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BIREN JOSHICredential: M.D.
Location Address595 HURRICANE SHOALS RD NW STE 100Lawrenceville, GA 30046-8762
Mailing Address497 Winn Way, Suite A-210Decatur, GA 30030-1712 · (404) 294-7033 · Fax (404) 296-4661
Phone(404) 645-7150
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 28, 2006
Last NPPES UpdateJune 1, 2018
✔ NPI 1063440451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 053562
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedSpecialistTaxonomy 174400000X · License 53562 (GA)
595 HURRICANE SHOALS RD NW STE 100, Lawrenceville, GA 30046
Open in Google Maps ↗

Secondary Practice Location 1

Location 11368-C Wellbrook CircleConyers, GA 30012-3873 · Phone (404) 294-7033 · Fax (404) 296-4661

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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. Biren Joshi 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 ID4082607064
PECOS Enrollment IDI20040406000435
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 7

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
301 services38 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.
139 services60 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.
125 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services48 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
43 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

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

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

16.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost55.78

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.

DR. ANGUS C HOWARD JR. M.D.
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
RASHEL MAHINI
Nurse Practitioner (Acute Care)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
SHERRIA TRENICE JASPER FNP
Nurse Practitioner (Family)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
IMRAN DOSANI MD
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
MR. GILBERT L. BELL NP
Nurse Practitioner (Family)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
KATHRYN LYNNETTE ELMORE M.D.
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
DR. MEENA J. KAVIL M.D.
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150
DR. EWALOLA AYO IJADUOLA M.D
Internal Medicine (Nephrology)
595 HURRICANE SHOALS RD NW STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 645-7150

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 Biren Joshi's NPI number?

The NPI number for Biren Joshi is 1063440451. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Biren Joshi located?

Biren Joshi practices at 595 Hurricane Shoals Rd NW Ste 100, Lawrenceville, GA 30046. The listed phone number is (404) 645-7150.

What is Biren Joshi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Biren Joshi enrolled in Medicare?

Yes. Biren Joshi 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 Biren Joshi accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Biren Joshi 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 Biren Joshi affiliated with any hospitals?

According to CMS data, Biren Joshi is affiliated with Piedmont Newton Hospital, Emory Decatur Hospital, Piedmont Rockdale Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Biren Joshi was last updated on June 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.