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DR. KAMAL N UMMED MD
NPI 1689725228
Internal Medicine - Hematology & Oncology in Atlanta, GA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
1100 JOHNSON FERRY RD STE 600, ATLANTA, GA 30342(404) 256-4777(404) 256-5515 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2020, May 5, 2020, Jul 12, 2016 (3 updates tracked since 2016).

About Dr. Kamal N Ummed Md NPPES

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

DR. KAMAL N UMMED MD (NPI 1689725228) is an individual hematology & oncology provider in Atlanta, Georgia, licensed in Georgia (071578) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1689725228
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KAMAL N UMMEDCredential: MD
Location Address1100 JOHNSON FERRY RD STE 600Atlanta, GA 30342-1739
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (404) 256-4777 · Fax (404) 256-5515
Phone(404) 256-4777
Fax(404) 256-5515
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 12, 2007
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1689725228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 071578
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1100 JOHNSON FERRY RD STE 600, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 3

Medicaid003146811BGA
Medicaid003146811AGA
Medicaid003146811EGA

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. Kamal N Ummed 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 ID1951374149
PECOS Enrollment IDI20140722000665
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 Reassignment

Medicare enrollment records show Kamal Ummed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC
0.2 mi
Hematology & Oncology
1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 163 clinicians in this Medicare group
NPI 1124379284 (404) 851-6378

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 9

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.
325 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.
256 services80 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.
55 services26 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.
54 services30 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.
54 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services19 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 Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services 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 30342 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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES 11

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

MRS. REENA T GUSICK PA
Physician Assistant
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
DR. RODOLFO EDUARDO BORDONI MD
Internal Medicine (Hematology & Oncology)
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
DR. IOANA R. BONTA MD
Internal Medicine (Hematology & Oncology)
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
MRS. BARBARA ANN KARRAKER RN
Nurse Practitioner
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
SANDRA RICHARDS
Nurse Practitioner
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
HAWA JEHJEH KANNEH FNP-C
Nurse Practitioner
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
MISS CHARMAINE P GRANT NP
Nurse Practitioner
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777
ANNA BALABAN APRN
Nurse Practitioner
1100 JOHNSON FERRY RD STE 600
ATLANTA, GA 30342
Fulton County (404) 256-4777

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 Kamal Ummed's NPI number?

The NPI number for Kamal Ummed is 1689725228. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Kamal Ummed located?

Kamal Ummed practices at 1100 Johnson Ferry Rd Ste 600, Atlanta, GA 30342. The listed phone number is (404) 256-4777.

What is Kamal Ummed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kamal Ummed enrolled in Medicare?

Yes. Kamal Ummed 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 organization bills Medicare for Kamal Ummed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamal Ummed reassigns Medicare benefits to Nsh Cancer Institute Professional Services G, LLC (Atlanta, GA). The 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 Kamal Ummed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kamal Ummed 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 Kamal Ummed 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 Kamal Ummed affiliated with any hospitals?

According to CMS data, Kamal Ummed is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Kamal Ummed was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.