Vivek Nautiyal (NPI# 1487882429, PAC ID# 5496062796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1487882429 |
| PAC ID by PECOS | 5496062796 |
| Professional Enrollment ID | I20150918001955 |
| Full Name | Vivek Nautiyal |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Address |
55 Whitcher Nest Suite 350 Marietta GA 30060-1129 |
| Phone Number | 7704246893 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6709065402 |
| Number of Group Practice Members | 1320 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| 110031 | WELLSTAR SPALDING REGIONAL HOSPITAL |
| 110184 | WELLSTAR DOUGLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 55 Whitcher Nest, Suite 350, Marietta, GA 30060-1129 | 7704246893 | WELLSTAR MEDICAL GROUP, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | WELLSTAR MEDICAL GROUP, LLC |
| Physicians | 1338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phong Hoang Do | Family Medicine | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 220, Kennesaw, GA 30152-7742 |
| Francheska Desravines Alcide | Family Medicine | Wellstar Medical Group, LLC | 687 Marietta Hwy, Canton, GA 30114-2608 |
| Marcus J Gates | Neurosurgery | Wellstar Medical Group, LLC | 625 Church Nest, Marietta, GA 30060-1101 |
| Nimota A Adeboye | Nurse Practitioner | Wellstar Medical Group, LLC | 3886 Princeton Lakes Way Sw, Atlanta, GA 30331-5511 |
| Vanessa Jill Lancaster | Nurse Practitioner | Wellstar Medical Group, LLC | 1360 Upper Hembree Rd, Roswell, GA 30076-1230 |
| Janna Williams-pitts | Psychologist, Clinical | Wellstar Medical Group, LLC | 3805 Cherokee Nwst, Kennesaw, GA 30144-2085 |
| Abhishek Kumar Singh | Family Medicine | Wellstar Medical Group, LLC | 121 Marble Mill N W Rd, Suite 101, Marietta, GA 30060-7959 |
| Khuram Ashraf | Internal Medicine | Wellstar Medical Group, LLC | 6043 Prestley Mill Rd C, Douglasville, GA 30134-2280 |
| Jonathan Noel Dodd | Psychologist, Clinical | Wellstar Medical Group, LLC | 3939 Roswell Rd, Marietta, GA 30062-6285 |
| Matthew Charles Agan | Neurology | Wellstar Medical Group, LLC | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 |
| Street Address |
55 WHITCHER NEST SUITE 350 |
| City | MARIETTA |
| State | GA |
| Zip | 30060-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina Prata | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Katrice P Harris | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Rachel A Dyches | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Raquel Marie Decamp | Physician Assistant | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Sejal Jayantilal Patel | Nurse Practitioner | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Jay Trambadia | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Alan R Muster | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Faisal Bhutta | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Angelina Foley Cain | Family Medicine | Wellstar Medical Group, LLC | 55 Whitcher Nest, Marietta, GA 30060-1129 |
| Ramin Saghafi | Pulmonary Disease | Wellstar Medical Group, LLC | 55 Whitcher Nest, Suite 160, Marietta, GA 30060-1160 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | MARIETTA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Vivek Nautiyal.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.