VIRANUJ SUEBLINVONG M.D.
NPI 1861431264
Internal Medicine - Pulmonary Disease in Atlanta, GA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1525 CLIFTON RD NE, 4TH FLOOR, ATLANTA, GA 30322(404) 778-2700 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Viranuj Sueblinvong M.d. NPPES

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

VIRANUJ SUEBLINVONG M.D. (NPI 1861431264) is an individual pulmonary disease provider in Atlanta, Georgia, licensed in Georgia (061664) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861431264
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameVIRANUJ SUEBLINVONGCredential: M.D.
Location Address1525 CLIFTON RD NE, 4TH FLOORAtlanta, GA 30322-4200
Mailing AddressPulmonary Clinic, 1365a Clifton Road, 4th FloorAtlanta, GA 30322-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 11, 2015
NPI 1861431264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in GA · 061664 Licensed in IL · 036-107280
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036-107280 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036-107280 (IL), 061664 (GA)
1525 CLIFTON RD NE, Atlanta, GA 30322

Other Identifiers 2

Medicaid670028950FGA
Medicare PIN511I110725GA

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

Viranuj Sueblinvong 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 ID7315950979
PECOS Enrollment IDI20081114000611
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 7

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.
90 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services27 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
17 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
14 services12 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

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.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
2 suppliers22 claims23 services$922.87 avg. paid by Medicare
Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639
DME-Drugs Administered Through DME · category DG000N
3 suppliers39 claims2,925 services$38.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers31 claims31 services$26.09 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.

Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology
1525 CLIFTON RD NE
ATLANTA, GA 30322
Nurse Practitioner (Adult Health)
1525 CLIFTON RD NE, SUITE 207
ATLANTA, GA 30322
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dermatology (MOHS-Micrographic Surgery)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322

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 Viranuj Sueblinvong's NPI number?

The NPI number for Viranuj Sueblinvong is 1861431264. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Viranuj Sueblinvong located?

Viranuj Sueblinvong practices at 1525 Clifton Rd NE 4th Floor, Atlanta, GA 30322. The listed phone number is (404) 778-2700.

What is Viranuj Sueblinvong's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Viranuj Sueblinvong enrolled in Medicare?

Yes. Viranuj Sueblinvong 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 Viranuj Sueblinvong accept?

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

According to CMS data, Viranuj Sueblinvong is affiliated with Emory University Hospital, Emory University Hospital Midtown and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Viranuj Sueblinvong was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.