DR. KEREN AVIVA BASHAN-GILZENRAT M.D.
NPI 1700047784
Surgery - Trauma Surgery in Marietta, GA

Active since June 22, 2008PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060(770) 426-1629(770) 427-8001 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2019, Mar 27, 2017 (2 updates tracked since 2017).

About Dr. Keren Aviva Bashan-gilzenrat M.d. NPPES

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

DR. KEREN AVIVA BASHAN-GILZENRAT M.D. (NPI 1700047784) is an individual trauma surgery provider in Marietta, Georgia, licensed in Georgia (070045) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1700047784
Entity TypeIndividualFemale
Primary Taxonomy2086S0127X
Provider Legal NameDR. KEREN AVIVA BASHAN-GILZENRATCredential: M.D.
Location Address55 WHITCHER ST NE STE 130Marietta, GA 30060
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Fax(770) 427-8001
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2008
Enumeration DateJune 22, 2008
Last NPPES UpdateOctober 16, 20192 updates tracked since enumeration
NPI 1700047784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in GA · 070045
Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2014-01249 (NC)
55 WHITCHER ST NE STE 130, Marietta, GA 30060

Secondary Practice Location 1

Location 180 Jesse Hill Jr Dr SE, Grady HospitalAtlanta, GA 30303-3031 · Phone (404) 616-1415

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

Dr. Keren Aviva Bashan-gilzenrat 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 ID7012159197
PECOS Enrollment IDI20130820000830
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services17 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

General Acute Care Hospital (Critical Access)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Surgery
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Orthopaedic Surgery (Orthopaedic Trauma)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Surgery
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Nurse Practitioner (Family)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Surgery (Trauma Surgery)
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060

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 Keren Bashan-gilzenrat's NPI number?

The NPI number for Keren Bashan-gilzenrat is 1700047784. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Keren Bashan-gilzenrat located?

Keren Bashan-gilzenrat practices at 55 Whitcher St NE Ste 130, Marietta, GA 30060. The listed phone number is (770) 426-1629.

What is Keren Bashan-gilzenrat's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Keren Bashan-gilzenrat enrolled in Medicare?

Yes. Keren Bashan-gilzenrat 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 Keren Bashan-gilzenrat 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 Keren Bashan-gilzenrat 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 Keren Bashan-gilzenrat affiliated with any hospitals?

According to CMS data, Keren Bashan-gilzenrat is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Keren Bashan-gilzenrat was last updated on October 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.