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RAJINIKANTH SESHAN M.D.
NPI 1063520419
Internal Medicine - Nephrology in Riverdale, GA

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
253 UPPER RIVERDALE RD SW, SUITE B, RIVERDALE, GA 30274(216) 533-8842 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2016, Aug 10, 2016 (2 updates tracked since 2016).

About Rajinikanth Seshan M.d. NPPES

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

RAJINIKANTH SESHAN M.D. (NPI 1063520419) is an individual nephrology provider in Riverdale, Georgia, licensed in Georgia (068790) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1063520419
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAJINIKANTH SESHANCredential: M.D.
Location Address253 UPPER RIVERDALE RD SW, SUITE BRiverdale, GA 30274-4945
Mailing Address253 Upper Riverdale Rd Sw, Suite BRiverdale, GA 30274-4945 · (216) 533-8842
Phone(216) 533-8842
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 27, 2006
Last NPPES UpdateSeptember 29, 20162 updates tracked since enumeration
✔ NPI 1063520419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 068790
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.
253 UPPER RIVERDALE RD SW, Riverdale, GA 30274
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN202I507875GA
Medicaid003144035AGA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rajinikanth Seshan 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 ID2163428210
PECOS Enrollment IDI20130705000511
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.

Medicare Billing Reassignment

Medicare enrollment records show Rajinikanth Seshan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlanta Kidney Specialists LLC
11 mi
End-Stage Renal Disease (ESRD) Treatment
130 MEDICAL WAY STE D
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1558814459 (470) 419-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
805 services199 patients
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.
287 services44 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
287 services104 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.
231 services115 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.
206 services180 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.
155 services60 patients

Hospital Affiliations CMS Care Compare 5

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Wellstar Sylvan Grove Medical Center

Critical Access Hospitals · Jackson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111319
Location1050 Mcdonough RoadJackson, GA 30233 · Butts County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%189 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%324 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DOURRON WOMEN'S SPECIALIST
Obstetrics & Gynecology
253 UPPER RIVERDALE RD SW, SUITE B
RIVERDALE, GA 30274
Clayton County (678) 381-1531
ATL-SOUTH HEALTH SERVICES
Home Health
253 UPPER RIVERDALE RD SW, SUITE D
RIVERDALE, GA 30274
Clayton County (770) 907-2323
ATL-SOUTH HEALTH SERVICES INC
Home Health
253 UPPER RIVERDALE RD SW, SUITE D
RIVERDALE, GA 30274
Clayton County (770) 907-2323

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 Rajinikanth Seshan's NPI number?

The NPI number for Rajinikanth Seshan is 1063520419. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Rajinikanth Seshan located?

Rajinikanth Seshan practices at 253 Upper Riverdale Rd SW Suite B, Riverdale, GA 30274. The listed phone number is (216) 533-8842.

What is Rajinikanth Seshan's specialty?

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

Is Rajinikanth Seshan enrolled in Medicare?

Yes. Rajinikanth Seshan 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.

Which organization bills Medicare for Rajinikanth Seshan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajinikanth Seshan reassigns Medicare benefits to Atlanta Kidney Specialists LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rajinikanth Seshan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajinikanth Seshan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Rajinikanth Seshan 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 Rajinikanth Seshan affiliated with any hospitals?

According to CMS data, Rajinikanth Seshan is affiliated with Wellstar Spalding Medical Center, Piedmont Hospital, Southern Regional Medical Center, Piedmont Henry Hospital and Wellstar Sylvan Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Rajinikanth Seshan was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.