DR. BINU JAMES KUNJUMMEN M.D.
NPI 1437331196
Internal Medicine - Interventional Cardiology in Tucker, GA

Active since December 04, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1468 MONTREAL RD, TUCKER, GA 30084(770) 638-1400(770) 638-1411 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Binu James Kunjummen M.d. NPPES

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

DR. BINU JAMES KUNJUMMEN M.D. (NPI 1437331196) is an individual interventional cardiology provider in Tucker, Georgia, licensed in Georgia (065135) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1437331196
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. BINU JAMES KUNJUMMENCredential: M.D.
Location Address1468 MONTREAL RDTucker, GA 30084-6901
Mailing Address1468 Montreal RdTucker, GA 30084-6901 · (770) 638-1400 · Fax (770) 638-1411
Fax(770) 638-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 4, 2007
Last NPPES UpdateOctober 7, 2015
NPI 1437331196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in GA · 065135
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 065135 (GA)
1468 MONTREAL RD, Tucker, GA 30084

Other Identifiers 2

Medicaid003100222GGA
Medicare PIN202I60665GA

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

Dr. Binu James Kunjummen 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 ID7113106410
PECOS Enrollment IDI20110119000286
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 21

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
341 services154 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.
84 services70 patients
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.
83 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
79 services58 patients
Insertion of tube into aorta 36200
The insertion of a tube into your aorta is a medical procedure aimed at diagnosing or treating conditions related to your heart and blood vessels. A small, flexible tube is inserted through a blood vessel and gently guided to your aorta. It's generally safe and helps your doctor get valuable information for your treatment.
51 services25 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
49 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30084 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner (Family)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Cardiovascular Disease)
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Interventional Cardiology)
1468 MONTREAL RD
TUCKER, GA 30084
Nurse Practitioner
1468 MONTREAL RD
TUCKER, GA 30084
Internal Medicine (Interventional Cardiology)
1468 MONTREAL RD
TUCKER, GA 30084

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 Binu Kunjummen's NPI number?

The NPI number for Binu Kunjummen is 1437331196. It was assigned to this individual provider in the NPPES registry on December 4, 2007.

Where is Binu Kunjummen located?

Binu Kunjummen practices at 1468 Montreal Rd, Tucker, GA 30084. The listed phone number is (770) 638-1400.

What is Binu Kunjummen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Binu Kunjummen enrolled in Medicare?

Yes. Binu Kunjummen 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 Binu Kunjummen accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Binu Kunjummen 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 Binu Kunjummen affiliated with any hospitals?

According to CMS data, Binu Kunjummen is affiliated with Emory Decatur Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Binu Kunjummen was last updated on October 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.