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NADER A DBOUK MD
NPI 1710199831
Internal Medicine - Gastroenterology in Conyers, GA

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1501 MILSTEAD RD NE, SUITE 120, CONYERS, GA 30012(678) 745-3033(678) 745-3034 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nader A Dbouk Md NPPES

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

NADER A DBOUK MD (NPI 1710199831) is an individual gastroenterology provider in Conyers, Georgia, licensed in Georgia (065757) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1710199831
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNADER A DBOUKCredential: MD
Location Address1501 MILSTEAD RD NE, SUITE 120Conyers, GA 30012
Mailing Address1355 Peachtree St Ne Ste 1600Atlanta, GA 30309-3276 · (678) 223-7774 · Fax (678) 223-7799
Phone(678) 745-3033
Fax(678) 745-3034
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 5, 2018
✔ NPI 1710199831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in GA · 065757✔ Licensed in TN · 48577
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 065757 (GA)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License 48577 (TN)
1501 MILSTEAD RD NE, Conyers, GA 30012
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Secondary Practice Location 1

Location 1550 Peachtree St NE Ste 1720Atlanta, GA 30308-2262 · Phone (404) 253-6824 · Fax (404) 253-6825

Other Identifiers 1

Medicaid003176404AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Nader A Dbouk 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 ID4981852290
PECOS Enrollment IDI20160629002703
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 6

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.
65 services50 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.
34 services17 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.
29 services26 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.
27 services27 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.
17 services15 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.
13 services13 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 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

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

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 30012 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
$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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%123 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%178 patients5/55-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.

Other Providers at the Same Location NPPES 9

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

MEGHANA BHATTA KUMAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (140) 454-5234
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
SOUTHERN PAIN INSTITUTE PC
Pain Medicine (Interventional Pain Medicine)
1501 MILSTEAD RD NE, SUITE 140
CONYERS, GA 30012
Rockdale County (770) 632-3730
DR. KEVIN H PEACOCK MD
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
DR. SHERINE J THOMAS M.D.
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
WILDER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (770) 761-8097
DAVID S RABIN M.D.
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, STE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949

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 Nader Dbouk's NPI number?

The NPI number for Nader Dbouk is 1710199831. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Nader Dbouk located?

Nader Dbouk practices at 1501 Milstead Rd NE Suite 120, Conyers, GA 30012. The listed phone number is (678) 745-3033.

What is Nader Dbouk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nader Dbouk enrolled in Medicare?

Yes. Nader Dbouk 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 Nader Dbouk 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 Nader Dbouk 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 Nader Dbouk affiliated with any hospitals?

According to CMS data, Nader Dbouk is affiliated with Emory University Hospital, Emory University Hospital Midtown, Saint Joseph's Hospital Of Atlanta, Inc and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Nader Dbouk was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.