DR. TONY MATHEW KUZHIPPALA M.D.
NPI 1427475425
Hospitalist in Atlanta, GA
About Dr. Tony Mathew Kuzhippala M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TONY MATHEW KUZHIPPALA M.D. (NPI 1427475425) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (81463) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Nevada School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Tony Mathew Kuzhippala 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.
Medicare Billing Reassignment
Medicare enrollment records show Tony Kuzhippala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GAEmory University Hospital
Acute Care Hospitals · Atlanta, GAEmory University Hospital Midtown
Acute Care Hospitals · Atlanta, GAEmory Johns Creek Hospital
Acute Care Hospitals · Johns Creek, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
ATLANTA, GA 30322
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 Tony Kuzhippala's NPI number?
The NPI number for Tony Kuzhippala is 1427475425. It was assigned to this individual provider in the NPPES registry on March 27, 2014.
Where is Tony Kuzhippala located?
Tony Kuzhippala practices at 1364 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.
What is Tony Kuzhippala's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Tony Kuzhippala enrolled in Medicare?
Yes. Tony Kuzhippala 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 Tony Kuzhippala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tony Kuzhippala reassigns Medicare benefits to The Emory Clinic Inc (Atlanta, 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 Tony Kuzhippala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tony Kuzhippala accept?
Health plans from Ambetter Health and Oscar Health list Tony Kuzhippala 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 Tony Kuzhippala affiliated with any hospitals?
According to CMS data, Tony Kuzhippala is affiliated with Northside Hospital Forsyth, Emory University Hospital, Emory University Hospital Midtown and Emory Johns Creek Hospital.
When was this NPI record last updated?
The NPPES record for Tony Kuzhippala was last updated on August 31, 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.
# Dr. Tony Mathew Kuzhippala, M.D. · NPI 1427475425
Hospitalist physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1427475425 (Entity type: Individual)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 81463 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1364 CLIFTON RD NE, Atlanta, GA 30322
- **Phone:** (404) 712-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** The Emory Clinic Inc (NPI 1396798229, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nevada School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** August 31, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1427475425) · Data from the CMS NPPES public registry.