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DR. PRADEEP KUMAR SINHA M.D.
NPI 1144203233
Otolaryngology in Atlanta, GA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
5670 PEACHTREE DUNWOODY RD NE, SUITE 1280, ATLANTA, GA 30342(404) 257-1589(404) 303-1950 Get Directions Write a Review

NPPES record last updated: February 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pradeep Kumar Sinha M.d. NPPES

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

DR. PRADEEP KUMAR SINHA M.D. (NPI 1144203233) is an individual otolaryngology provider in Atlanta, Georgia, licensed in Georgia (044104) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1987).

NPPES Registry Identity

NPI1144203233
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PRADEEP KUMAR SINHACredential: M.D.
Location Address5670 PEACHTREE DUNWOODY RD NE, SUITE 1280Atlanta, GA 30342-1699
Mailing Address5670 Peachtree Dunwoody Rd Ne, Suite 1280Atlanta, GA 30342-1699 · (404) 257-1589 · Fax (404) 303-1950
Phone(404) 257-1589
Fax(404) 303-1950
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateNovember 22, 2005
Last NPPES UpdateFebruary 12, 2020
✔ NPI 1144203233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 044104
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 44104 (GA)
5670 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Identifiers 1

Medicaid000778522BGA

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. Pradeep Kumar Sinha 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 ID7719968098
PECOS Enrollment IDI20060328000504
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 5

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.
44 services22 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
31 services21 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
22 services17 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
21 services16 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.
13 services11 patients

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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SILPA REDDY MD
Internal Medicine (Hematology & Oncology)
5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342
Fulton County (404) 851-2300
JENNIFER KURRE WEBER ARNP
Nurse Practitioner
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
MEGAN CHRISTINA SWEET PA
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
LONNIE HERZOG M.D.
Internal Medicine
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 30342
Fulton County (404) 255-9100
LANA JEAN JACKSON P.A.
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
MICHAEL ALAN BALK MD
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342
Fulton County (404) 256-2525
NABEEL A HAFEEZ MD
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342
Fulton County (404) 256-2525
NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC
Internal Medicine (Hematology & Oncology)
5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342
Fulton County (404) 851-2300

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 Pradeep Sinha's NPI number?

The NPI number for Pradeep Sinha is 1144203233. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Pradeep Sinha located?

Pradeep Sinha practices at 5670 Peachtree Dunwoody Rd NE Suite 1280, Atlanta, GA 30342. The listed phone number is (404) 257-1589.

What is Pradeep Sinha's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Pradeep Sinha enrolled in Medicare?

Yes. Pradeep Sinha 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 Pradeep Sinha 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 Pradeep Sinha 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.

When was this NPI record last updated?

The NPPES record for Pradeep Sinha was last updated on February 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.