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DR. UTPAL H PANDYA MD
NPI 1649254848
Internal Medicine - Cardiovascular Disease in Atlanta, GA

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER, ATLANTA, GA 30328(419) 383-3925(419) 383-6167 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Utpal H Pandya Md NPPES

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

DR. UTPAL H PANDYA MD (NPI 1649254848) is an individual cardiovascular disease provider in Atlanta, Georgia, licensed in Georgia (064696) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph's Hospital Of Atlanta, Inc, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1649254848
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. UTPAL H PANDYACredential: MD
Location Address20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTERAtlanta, GA 30328-3473
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070 · Fax (419) 383-2000
Phone(419) 383-3925
Fax(419) 383-6167
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1998
Enumeration DateDecember 1, 2005
Last NPPES UpdateJanuary 7, 2022
✔ NPI 1649254848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in GA · 064696✔ Licensed in OH · 35086955
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
20 GLENLAKE PKWY, Atlanta, GA 30328
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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. Utpal H Pandya 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 ID6709873573
PECOS Enrollment IDI20101101000953
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 2

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MICHAEL DOUGLAS HELLSTROM MD
Otolaryngology
20 GLENLAKE PKWY, KAISER PERMANENTE MEDICAL GROUP GLENLAKE
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. ALAN MARC WEINBERG M.D.
Psychiatry & Neurology (Psychiatry)
20 GLENLAKE PKWY, DEPT OF BEHAVIORAL HEALTH
ATLANTA, GA 30328
Fulton County (404) 365-0966
MRS. EVA RIKER M.D.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7243
DR. VARUN GUPTA MD
Plastic Surgery
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 365-0966
DR. KHALID A SHASH MD
Internal Medicine (Cardiovascular Disease)
20 GLENLAKE PKWY, KAISER PERMANETE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (617) 629-6000
DR. LILLIAN KIM IVANSCO M.D., M.P.H.
Radiology (Diagnostic Radiology)
20 GLENLAKE PKWY
ATLANTA, GA 30328
Fulton County (404) 364-7285
SHAWNA LEE WATSON M.D.
Orthopaedic Surgery
20 GLENLAKE PKWY
SANDY SPRINGS, GA 30328
Fulton County (470) 698-6488
MRS. CHERYL SUE ARNSON MA
Audiologist
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL CENTER
ATLANTA, GA 30328
Fulton County (770) 667-6154

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 Utpal Pandya's NPI number?

The NPI number for Utpal Pandya is 1649254848. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Utpal Pandya located?

Utpal Pandya practices at 20 Glenlake Pkwy Kaiser Permanente Glenlake Medical Center, Atlanta, GA 30328. The listed phone number is (419) 383-3925.

What is Utpal Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Utpal Pandya enrolled in Medicare?

Yes. Utpal Pandya 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.

Is Utpal Pandya affiliated with any hospitals?

According to CMS data, Utpal Pandya is affiliated with Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Utpal Pandya was last updated on January 7, 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.