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JAMES T SOMEREN M.D.
NPI 1982614905
Internal Medicine - Nephrology in Atlanta, GA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY, ATLANTA, GA 30322(404) 778-5380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James T Someren M.d. NPPES

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

JAMES T SOMEREN M.D. (NPI 1982614905) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (041678) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (1990).

NPPES Registry Identity

NPI1982614905
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAMES T SOMERENCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGYAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg B, The Emory Clinic - NephrologyAtlanta, GA 30322-1013 · (404) 778-5380
Phone(404) 778-5380
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1990
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1982614905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in GA · 041678
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1365 CLIFTON RD NE BLDG B, Atlanta, GA 30322
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING30251GA

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

James T Someren 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 ID2769450329
PECOS Enrollment IDI20040921000993
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.

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.
226 services46 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
192 services30 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.
158 services63 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.
70 services46 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
58 services18 patients
Dialysis procedure including 1 evaluation 90945
Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.
51 services23 patients

Hospital Affiliations CMS Care Compare 2

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

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 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier22 claims1,980 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers32 claims32 services$12.26 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.

MADISON THURMOND OD
Optometrist
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-2020
ANIKA LINDSEY QUILLIN GC
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-2020
MS. SUZANNE ELISE CAHN MMSC, CGC
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-8570
KAITLIN DIVINNIE AGPCNP
Nurse Practitioner (Primary Care)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-3184
WILLIAM CHARLES O'NEILL IV MD
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-4366
AMELIA RHODES CLINE PA-C
Physician Assistant
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-4898
ZAKARIA GARY
Nurse Practitioner (Pediatrics)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-8570
DR. MARWAN MUJID KAZIMI M.D.
Surgery
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (855) 366-7989

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 James Someren's NPI number?

The NPI number for James Someren is 1982614905. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is James Someren located?

James Someren practices at 1365 Clifton Rd NE Bldg B The Emory Clinic - Nephrology, Atlanta, GA 30322. The listed phone number is (404) 778-5380.

What is James Someren's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Someren enrolled in Medicare?

Yes. James Someren 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 James Someren affiliated with any hospitals?

According to CMS data, James Someren is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for James Someren was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.