SAGAR LONIAL M.D.
NPI 1487762118
Internal Medicine - Hematology in Atlanta, GA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating
1365 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-1900 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sagar Lonial M.d. NPPES

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

SAGAR LONIAL M.D. (NPI 1487762118) is an individual hematology provider in Atlanta, Georgia, licensed in Georgia (44007) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of University Of Louisville School Of Medicine (1993).

NPPES Registry Identity

NPI1487762118
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameSAGAR LONIALCredential: M.D.
Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd NeAtlanta, GA 30322-1013 · (404) 778-1900
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1993
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1487762118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in GA · 44007
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
1365 CLIFTON RD NE, Atlanta, GA 30322

Other Identifiers 1

Medicare UPING35331GA

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

Sagar Lonial 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 ID3173571551
PECOS Enrollment IDI20050112000544
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 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.

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.
71 services50 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.
69 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

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 University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician 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.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
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 Sagar Lonial's NPI number?

The NPI number for Sagar Lonial is 1487762118. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Sagar Lonial located?

Sagar Lonial practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-1900.

What is Sagar Lonial's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Sagar Lonial enrolled in Medicare?

Yes. Sagar Lonial 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 Sagar Lonial accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sagar Lonial 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 Sagar Lonial affiliated with any hospitals?

According to CMS data, Sagar Lonial is affiliated with Emory University Hospital, Emory Decatur Hospital, Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Sagar Lonial was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.