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RUDIONA HOXHAJ DO
NPI 1740819572
Internal Medicine in Atlanta, GA

Active since April 03, 2020PECOS Enrolled
92.93/100
CMS Quality Rating
101 WOODRUFF CIRCLE WMRB 1303, ATLANTA, GA 30322(470) 956-2020 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 29, 2024, Jun 19, 2023, Apr 3, 2020 (3 updates tracked since 2020).

About Rudiona Hoxhaj Do NPPES

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

RUDIONA HOXHAJ DO (NPI 1740819572) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (94511) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740819572
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameRUDIONA HOXHAJCredential: DO
Location Address101 WOODRUFF CIRCLE WMRB 1303Atlanta, GA 30322-1101
Mailing Address101 Woodruff Circle Wmrb 1303Atlanta, GA 30322-1101
Phone(470) 956-2020
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateJune 29, 20243 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1740819572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 94511
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 WOODRUFF CIRCLE WMRB 1303, Atlanta, GA 30322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rudiona Hoxhaj Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Rudiona Hoxhaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC
9.8 mi
Family Medicine
2850 PACES FERRY RD SE
Atlanta, GA 30339
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1710319462 (678) 556-4950

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

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 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.
102 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

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

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 Rudiona Hoxhaj's NPI number?

The NPI number for Rudiona Hoxhaj is 1740819572. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Rudiona Hoxhaj located?

Rudiona Hoxhaj practices at 101 Woodruff Circle Wmrb 1303, Atlanta, GA 30322. The listed phone number is (470) 956-2020.

What is Rudiona Hoxhaj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rudiona Hoxhaj enrolled in Medicare?

Yes. Rudiona Hoxhaj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rudiona Hoxhaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudiona Hoxhaj reassigns Medicare benefits to Wellstar Medical Group, 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 Rudiona Hoxhaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rudiona Hoxhaj accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Rudiona Hoxhaj 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.

When was this NPI record last updated?

The NPPES record for Rudiona Hoxhaj was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.