DR. NEIL SANJIWAN TARABADKAR MD
NPI 1649545906
Orthopaedic Surgery in Cumming, GA

Q: What is Neil Tarabadkar's NPI number?

The NPI number for Neil Tarabadkar is 1649545906. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Q: What is Neil Tarabadkar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Neil Tarabadkar was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since March 19, 2012PECOS EnrolledAccepts Medicare Assignment

78.14/100

CMS Quality Rating

1505 NORTHSIDE BLVD STE 3100, CUMMING, GA 30041(770) 977-7777(855) 283-8851 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2019, Oct 31, 2017 (2 updates tracked since 2017).

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About Dr. Neil Sanjiwan Tarabadkar Md NPPES

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

DR. NEIL SANJIWAN TARABADKAR MD (NPI 1649545906) is an individual orthopaedic surgery provider in Cumming, Georgia, licensed in Georgia (080405) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1649545906

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. NEIL SANJIWAN TARABADKARCredential: MD

Location Address1505 NORTHSIDE BLVD STE 3100Cumming, GA 30041

Mailing Address2001 Peachtree Rd Ne Ste 705Atlanta, GA 30309-1476 · (404) 355-0743 · Fax (404) 355-2136

Phone(770) 977-7777

Fax(855) 283-8851

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012

Enumeration DateMarch 19, 2012

Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2026

✔ NPI 1649545906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in GA · 080405

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1505 NORTHSIDE BLVD STE 3100, Cumming, GA 30041

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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. Neil Sanjiwan Tarabadkar 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 ID4789900119

PECOS Enrollment IDI20180919001214

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.

Medicare Billing Reassignments

Medicare enrollment records show Neil Tarabadkar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peachtree Orthopaedic Clinic Of Georgia, LLC

18 mi

Orthopaedic Surgery

1524 RIVER PL STE 200
Braselton, GA 30517

Reassigned Medicare billing, Georgia enrollment
92 clinicians in this Medicare group

NPI 1033943105 (404) 355-0743

Northside Surgical Professional Services LLC

22 mi

Surgery

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
487 clinicians in this Medicare group

NPI 1356630990 (855) 709-4535

Peachtree Orthopaedic Clinic P.A.

22 mi

Physical Therapist

5505 PEACHTREE DUNWOODY RD NE, SUITE 250
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Peachtree Orthopaedic Clinic PA
119 clinicians in this Medicare group

NPI 1306022264 (404) 425-1577

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 16

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 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.

162 services138 patients

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.

160 services140 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

83 services79 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

58 services52 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

52 services41 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

45 services37 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

44 services37 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

41 services34 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.

37 services37 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

24 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

21 services19 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

16 services13 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

13 services11 patients

Aspiration and/or injection of fluid from small joint 20600

11 services11 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$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.

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.

78.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.13

Promoting Interoperability

Improvement Activities

Cost

67.84

Reported Quality Measures

Advance Care Plan

94%948 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

64%604 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

94%5,727 patients4/55-star benchmark: 100%

e-Prescribing

97%497 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

49%918 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%3,408 patients2/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 70% · 2,447 patients

Patients screened: 72% · 2,447 patients

55%115 patients3/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 74% · 1,337 patients

Patients screened: 81% · 1,337 patients

62%226 patients

Provide Patients Electronic Access to Their Health Information

73%2,100 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

66%32 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 967 patients

Patients totalRate: 3% · 967 patients

3%967 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier60 claims64 services$42.80 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923

DME-Orthotic Devices · category DF000N

1 supplier42 claims44 services$59.11 avg. paid by Medicare

Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment L3984

DME-Orthotic Devices · category DF000N

1 supplier41 claims41 services$253.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JAMES OWEN M.D.

Orthopaedic Surgery

1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041

Forsyth County (770) 977-7777

CHUNZHI XIA

Internal Medicine (Medical Oncology)

1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041

Forsyth County (770) 205-1331

MS. ALLISON ADAIR COX PA

Physician Assistant

1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041

Forsyth County (770) 977-7777

JENNIFER LYNN NEWTON NP

Nurse Practitioner (Acute Care)

1505 NORTHSIDE BLVD STE 3100
CUMMING, GA 30041

Forsyth County (513) 475-8500

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 Neil Tarabadkar's NPI number?

The NPI number for Neil Tarabadkar is 1649545906. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Where is Neil Tarabadkar located?

Neil Tarabadkar practices at 1505 Northside Blvd Ste 3100, Cumming, GA 30041. The listed phone number is (770) 977-7777.

What is Neil Tarabadkar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Neil Tarabadkar enrolled in Medicare?

Yes. Neil Tarabadkar 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 organizations bill Medicare for Neil Tarabadkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Tarabadkar reassigns Medicare benefits to 3 organizations: Peachtree Orthopaedic Clinic Of Georgia, LLC (Braselton, GA), Northside Surgical Professional Services LLC (Atlanta, GA) and Peachtree Orthopaedic Clinic P.A. (Atlanta, GA). Each 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 Neil Tarabadkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Tarabadkar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Neil Tarabadkar 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 Neil Tarabadkar affiliated with any hospitals?

According to CMS data, Neil Tarabadkar is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Neil Tarabadkar was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.