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DR. PADMA REKHA KOUKUNTLA MD
NPI 1972891463
Internal Medicine in Sandy Springs, GA

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1300 ALTMORE AVE STE 175, SANDY SPRINGS, GA 30342(404) 905-5680(770) 764-0077 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Sep 20, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Dr. Padma Rekha Koukuntla Md NPPES

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

DR. PADMA REKHA KOUKUNTLA MD (NPI 1972891463) is an individual internal medicine provider in Sandy Springs, Georgia, licensed in Georgia (77417) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972891463
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PADMA REKHA KOUKUNTLACredential: MD
Location Address1300 ALTMORE AVE STE 175Sandy Springs, GA 30342-2598
Mailing Address1300 Altmore Ave Ste 175Sandy Springs, GA 30342-2598 · (404) 905-5680 · Fax (770) 764-0077
Phone(404) 905-5680
Fax(770) 764-0077
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 18, 2011
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1972891463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 77417✔ Licensed in FL · ME 128519✔ Licensed in NY · 276458✔ Licensed in AL · 42633
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 ListedHospitalistTaxonomy 208M00000X · License 276458 (NY)
1300 ALTMORE AVE STE 175, Sandy Springs, GA 30342
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11000 Johnson Ferry RdAtlanta, GA 30342-1606 · Phone (404) 851-8000 · Fax (404) 303-3759
Location 2304 Turner McCall Blvd SWRome, GA 30165-5621 · Phone (706) 509-5000

Accepted Insurance

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

Dr. Padma Rekha Koukuntla Md 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 ID8527286491
PECOS Enrollment IDI20170516001618
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 4

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.
178 services105 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.
78 services54 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
63 services63 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.
59 services59 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%259 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$16.50 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 suppliers30 claims30 services$93.98 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 2

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

DR. ABHIJIT REDDY KANTHALA MD MBBS
Internal Medicine
1300 ALTMORE AVE STE 175
ATLANTA, GA 30342
Fulton County (404) 905-5680
RAPD CARE LLC
General Practice
1300 ALTMORE AVE STE 175
SANDY SPRINGS, GA 30342
Fulton County (404) 905-5680

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 Padma Rekha Koukuntla's NPI number?

The NPI number for Padma Rekha Koukuntla is 1972891463. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Padma Rekha Koukuntla located?

Padma Rekha Koukuntla practices at 1300 Altmore Ave Ste 175, Sandy Springs, GA 30342. The listed phone number is (404) 905-5680.

What is Padma Rekha Koukuntla's specialty?

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

Is Padma Rekha Koukuntla enrolled in Medicare?

Yes. Padma Rekha Koukuntla 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 Padma Rekha Koukuntla accept?

Health plans from Alliant Health Plans, Inc. list Padma Rekha Koukuntla 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 Padma Rekha Koukuntla affiliated with any hospitals?

According to CMS data, Padma Rekha Koukuntla is affiliated with Adventhealth Gordon, Adventhealth Murray and Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Padma Rekha Koukuntla was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.