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DR. HIMANSHI CHOPRA MD
NPI 1487158275
Family Medicine in Suwanee, GA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
COMPREHENSIVE PRIMARY CARE, LLC, 3905 JOHNS CREEK COURT, SUITE 200, SUWANEE, GA 30024(678) 888-2273(678) 888-2200 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 26, 2023, Nov 1, 2022, May 22, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Himanshi Chopra Md NPPES

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

DR. HIMANSHI CHOPRA MD (NPI 1487158275) is an individual family medicine provider in Suwanee, Georgia, licensed in Georgia (93531) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487158275
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HIMANSHI CHOPRACredential: MD
Location AddressCOMPREHENSIVE PRIMARY CARE, LLC, 3905 JOHNS CREEK COURT, SUITE 200Suwanee, GA 30024-1225
Mailing AddressComprehensive Primary Care, Llc, 3905 Johns Creek Court, Suite 200Suwanee, GA 30024-1225 · (678) 888-2273 · Fax (678) 888-2200
Phone(678) 888-2273
Fax(678) 888-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 19, 2018
Last NPPES UpdateAugust 4, 20234 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1487158275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 93531
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
COMPREHENSIVE PRIMARY CARE, LLC, Suwanee, GA 30024
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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. Himanshi Chopra Md 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 ID2860735263
PECOS Enrollment IDI20221229001586
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 4

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 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.
99 services78 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.
57 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Himanshi Chopra's NPI number?

The NPI number for Himanshi Chopra is 1487158275. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Himanshi Chopra located?

Himanshi Chopra practices at Comprehensive Primary Care, LLC 3905 Johns Creek Court, Suite 200, Suwanee, GA 30024. The listed phone number is (678) 888-2273.

What is Himanshi Chopra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Himanshi Chopra enrolled in Medicare?

Yes. Himanshi Chopra 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 Himanshi Chopra 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 Himanshi Chopra 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 Himanshi Chopra affiliated with any hospitals?

According to CMS data, Himanshi Chopra is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Himanshi Chopra was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.