KARUN SOMANI M.D.
NPI 1154618692
Surgery in Atlanta, GA

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
35 COLLIER RD NW STE 775, ATLANTA, GA 30309(404) 351-5959 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2025, Dec 10, 2019 (2 updates tracked since 2019).

About Karun Somani M.d. NPPES

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

KARUN SOMANI M.D. (NPI 1154618692) is an individual surgery provider in Atlanta, Georgia, licensed in Georgia (4878) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of University Of Florida College Of Medicine (2011).

NPPES Registry Identity

NPI1154618692
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameKARUN SOMANICredential: M.D.
Location Address35 COLLIER RD NW STE 775Atlanta, GA 30309-1608
Mailing Address148 Bill Carruth Pkwy Ste 180Hiram, GA 30141-3756 · (770) 445-1915 · Fax (770) 445-6876
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2011
Enumeration DateJuly 5, 2011
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1154618692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 4878
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
35 COLLIER RD NW STE 775, Atlanta, GA 30309

Accepted 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

Karun Somani 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 ID5890924773
PECOS Enrollment IDI20160906002079
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 2

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services12 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

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

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.

Nurse Practitioner
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Physician Assistant
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Family Medicine
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Internal Medicine (Gastroenterology)
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Physician Assistant
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Nurse Practitioner
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Surgery (Surgical Oncology)
35 COLLIER RD NW STE 775
ATLANTA, GA 30309
Dietitian, Registered
35 COLLIER RD NW STE 775
ATLANTA, GA 30309

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 Karun Somani's NPI number?

The NPI number for Karun Somani is 1154618692. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Karun Somani located?

Karun Somani practices at 35 Collier Rd NW Ste 775, Atlanta, GA 30309. The listed phone number is (404) 351-5959.

What is Karun Somani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karun Somani enrolled in Medicare?

Yes. Karun Somani 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 Karun Somani 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 Karun Somani 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 Karun Somani affiliated with any hospitals?

According to CMS data, Karun Somani is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Karun Somani was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.