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DR. ALOK SUDHAKAR EZHUTHACHAN M.D.
NPI 1316200710
Pediatrics - Neonatal-Perinatal Medicine in Atlanta, GA

Active since June 20, 2012PECOS Enrolled
1000 JOHNSON FERRY RD, ATLANTA, GA 30342(404) 851-8000 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 3, 2022, Sep 30, 2015 (2 updates tracked since 2015).

About Dr. Alok Sudhakar Ezhuthachan M.d. NPPES

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

DR. ALOK SUDHAKAR EZHUTHACHAN M.D. (NPI 1316200710) is an individual neonatal-perinatal medicine provider in Atlanta, Georgia, licensed in Georgia (92500) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316200710
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. ALOK SUDHAKAR EZHUTHACHANCredential: M.D.
Location Address1000 JOHNSON FERRY RDAtlanta, GA 30342-1606
Mailing Address1888 Pointe Place AveAtlanta, GA 30338-7990 · (248) 462-2662
Phone(404) 851-8000
Sole ProprietorNo
Enumeration DateJune 20, 2012
Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1316200710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in GA · 92500✔ Licensed in NC · 212976
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 4301100459 (MI)
1000 JOHNSON FERRY RD, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alok Sudhakar Ezhuthachan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Alok Ezhuthachan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
751 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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

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.

SHELLEY S STATON PAAA
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (770) 645-9181
TYREL FOSTER MD
Nuclear Medicine
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-6323
KEVIN DAVIS
Anesthesiologist Assistant
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
CAITLIN MARY YARDE
Nurse Practitioner (Family)
1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342
Fulton County (404) 851-6051
NICK TAHER M.D.
Hospitalist
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-8000
NORTHSIDE RADIOLOGY ASSOCIATES LLC
Radiology (Diagnostic Radiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 662-2438
TAYEB AHMAD RAHIM
Radiology (Neuroradiology)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (678) 553-7784
CHRISTOPHER AGOSTI PAC
Physician Assistant (Medical)
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Fulton County (404) 851-4000

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 Alok Ezhuthachan's NPI number?

The NPI number for Alok Ezhuthachan is 1316200710. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Alok Ezhuthachan located?

Alok Ezhuthachan practices at 1000 Johnson Ferry Rd, Atlanta, GA 30342. The listed phone number is (404) 851-8000.

What is Alok Ezhuthachan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Alok Ezhuthachan enrolled in Medicare?

Yes. Alok Ezhuthachan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alok Ezhuthachan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alok Ezhuthachan reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Alok Ezhuthachan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alok Ezhuthachan was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.