1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Hospitalist
  6. NPI Profile

DR. PRAMOD KAKARALA M.D.
NPI 1972881795
Hospitalist in Atlanta, GA

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
35 COLLIER RD NW, SUITE 635, ATLANTA, GA 30309(404) 367-3014(404) 367-3558 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Pramod Kakarala M.d. NPPES

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

DR. PRAMOD KAKARALA M.D. (NPI 1972881795) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (072312) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Stephens County Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972881795
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRAMOD KAKARALACredential: M.D.
Location Address35 COLLIER RD NW, SUITE 635Atlanta, GA 30309-1613
Mailing Address35 Collier Rd Nw, Suite 635Atlanta, GA 30309-1613 · (404) 367-3014 · Fax (404) 367-3558
Phone(404) 367-3014
Fax(404) 367-3558
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 27, 2011
Last NPPES UpdateMarch 22, 2017
✔ NPI 1972881795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 072312
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 72312 (GA)
35 COLLIER RD NW, Atlanta, GA 30309
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pramod Kakarala 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 ID143473850
PECOS Enrollment IDI20140930001782
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 Reassignments

5

Medicare enrollment records show Pramod Kakarala reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
3.8 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
Premier Health Partners, LLC
52 mi
Internal Medicine
3651 MARS HILL RD STE 3400
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1336998574 (706) 502-0503
Evirtualcare, LLC
62 mi
Internal Medicine
555 FOREST RD
Athens, GA 30605
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1073050647 (706) 502-0503
Legacy Physician Consultants, LLC
68 mi
Internal Medicine
209 PEACH ORCHARD RD
Baldwin, GA 30511
  • Reassigned Medicare billing, Georgia enrollment
  • 7 clinicians in this Medicare group
NPI 1508605668 (706) 713-1904
Southeastern Medical Specialists, LLC
81 mi
Hospitalist
163 HOSPITAL DR
Toccoa, GA 30577
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group
NPI 1801578638 (833) 334-4337

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 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.
385 services192 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
193 services183 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services64 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.
57 services30 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
56 services44 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services33 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stephens County Hospital

Acute Care Hospitals · Toccoa, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110032
Location163 Hospital DriveToccoa, GA 30577 · Stephens County
Emergency services

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims14 services$15.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$66.21 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.

DR. TIANNA E. JOHNSON D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ADANNA CHIJIOKE
Physician Assistant
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CHAYCIE L GOGGINS PHARMD
Pharmacist
35 COLLIER RD NW
ATLANTA, GA 30309
Fulton County (404) 350-9772
CHRISTOPHER A DALINKUS D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
CANDICE MARIE DELK D.O.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
MARIE-VERONIQUE INGULU BIELO M.D.
Hospitalist
35 COLLIER RD NW, SUITE 635
ATLANTA, GA 30309
Fulton County (404) 367-3014
ROBERT V. DIMEGLIO, MD, LLC
Urology
35 COLLIER RD NW, M-245
ATLANTA, GA 30309
Fulton County (678) 205-8211
MR. JOSEPH J NICHOLS JR. M.D.
Colon & Rectal Surgery
35 COLLIER RD NW, SUITE 475
ATLANTA, GA 30309
Fulton County (404) 351-7900

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 Pramod Kakarala's NPI number?

The NPI number for Pramod Kakarala is 1972881795. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Pramod Kakarala located?

Pramod Kakarala practices at 35 Collier Rd NW Suite 635, Atlanta, GA 30309. The listed phone number is (404) 367-3014.

What is Pramod Kakarala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pramod Kakarala enrolled in Medicare?

Yes. Pramod Kakarala 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.

Which organizations bill Medicare for Pramod Kakarala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pramod Kakarala reassigns Medicare benefits to 5 organizations: Emory Medical Care Foundation Inc (Atlanta, GA), Premier Health Partners, LLC (Watkinsville, GA), Evirtualcare, LLC (Athens, GA), Legacy Physician Consultants, LLC (Baldwin, GA) and Southeastern Medical Specialists, LLC (Toccoa, GA). Each 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 Pramod Kakarala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pramod Kakarala accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Pramod Kakarala 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 Pramod Kakarala affiliated with any hospitals?

According to CMS data, Pramod Kakarala is affiliated with Stephens County Hospital, Northeast Georgia Medical Center Habersham, Piedmont Athens Regional Medical Center and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pramod Kakarala was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.