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SUMATHI SRIVATSA M.D
NPI 1770591471
Internal Medicine - Endocrinology, Diabetes & Metabolism in Atlanta, GA

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400, ATLANTA, GA 30322(404) 778-3280(404) 778-5730 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sumathi Srivatsa M.d NPPES

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

SUMATHI SRIVATSA M.D (NPI 1770591471) is an individual endocrinology, diabetes & metabolism provider in Atlanta, Georgia, licensed in Georgia (049104) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1770591471
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSUMATHI SRIVATSACredential: M.D
Location Address1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/ENDOCRINOLOGY SUITE 4400Atlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg A, Internal Medicine/endocrinology Suite 4400Atlanta, GA 30322-1013 · (404) 778-3280 · Fax (404) 778-5730
Phone(404) 778-3280
Fax(404) 778-5730
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770591471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 049104
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1365 CLIFTON RD NE BLDG A, Atlanta, GA 30322
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Other Identifiers 1

Medicare UPINH19599GA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sumathi Srivatsa 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 ID1759557531
PECOS Enrollment IDI20111228000446
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 8

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
222 services222 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.
149 services132 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.
110 services78 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
63 services52 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services41 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

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 Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

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 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.

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

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
31 suppliers68 claims259 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers27 claims53 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers76 claims79 services$176.49 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 20

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

TONYA HERSHMAN PHARMD
Pharmacist (Pharmacotherapy)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (470) 895-5120
JOHN J DORAN M.D.
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-5380
MRS. JULIE MCINNIS SPANKOWSKI RN, MSN, ANCP-C
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-3712
CLAUDIA R UTESCH CDCES, RDN/LD
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (678) 365-9856
DR. DALE SHELTON DEAS JR. MD
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (404) 778-5039
EMILY K JAMES MD
Internal Medicine (Hospice and Palliative Medicine)
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (850) 218-9418
EILEEN MAHONEY RDN
Dietitian, Registered
1365 CLIFTON RD NE BLDG A
ATLANTA, GA 30322
Dekalb County (803) 565-0649
JEFFREY R PINE M.D.
Internal Medicine (Pulmonary Disease)
1365 CLIFTON RD NE BLDG A, THE EMORY CLINIC - PULMONARY
ATLANTA, GA 30322
Dekalb County (404) 778-3261

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 Sumathi Srivatsa's NPI number?

The NPI number for Sumathi Srivatsa is 1770591471. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Sumathi Srivatsa located?

Sumathi Srivatsa practices at 1365 Clifton Rd NE Bldg A Internal Medicine/Endocrinology Suite 4400, Atlanta, GA 30322. The listed phone number is (404) 778-3280.

What is Sumathi Srivatsa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sumathi Srivatsa enrolled in Medicare?

Yes. Sumathi Srivatsa 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 Sumathi Srivatsa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sumathi Srivatsa 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 Sumathi Srivatsa affiliated with any hospitals?

According to CMS data, Sumathi Srivatsa is affiliated with Emory University Hospital, Emory Decatur 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 Sumathi Srivatsa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.