KAISSA DESTA IDAHOSA NP
NPI 1942955323
Nurse Practitioner - Family in Marietta, GA
About Kaissa Desta Idahosa Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAISSA DESTA IDAHOSA NP (NPI 1942955323) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN227597) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Kaissa Desta Idahosa Np 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Kaissa Idahosa's NPI number?
The NPI number for Kaissa Idahosa is 1942955323. It was assigned to this individual provider in the NPPES registry on February 15, 2022.
Where is Kaissa Idahosa located?
Kaissa Idahosa practices at 2480 Windy Hill Rd SE, Marietta, GA 30067. The listed phone number is (800) 640-3451.
What is Kaissa Idahosa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaissa Idahosa enrolled in Medicare?
Yes. Kaissa Idahosa 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.
Is Kaissa Idahosa affiliated with any hospitals?
According to CMS data, Kaissa Idahosa is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kaissa Idahosa was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
