SARAVANAN KUPPUSWAMY (M.D.) – Cardiovascular Disease Physician, NPI 1093770844
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA
Provider Addresses for SARAVANAN KUPPUSWAMY (M.D.)
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
3650 Steve Reynolds Blvd
Kaiser Permanente Gwinnett Medical Office
Duluth, GA 300964506
Phone: (770) 931-6030
Type: Location
2 W 42nd St Ste 2200
Scottsbluff, NE 693614669
Phone: (308) 630-2626
Fax: (308) 630-2636
Type: Location
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 219-8420
Type: Location
3495 PIEDMONT RD NE
NINE PIEDMONT CENTER
ATLANTA, GA 303051717
Phone: (404) 364-7070
Type: Mailing
3650 STEVE REYNOLDS BLVD
KAISER PERMANENTE GWINNETT MEDICAL OFFICE
DULUTH, GA 300964506
Phone: (770) 931-6030
Type: Location
Piedmont Road Northeast, Buckhead, Atlanta, Georgia, 30305, United States
NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone: (404) 364-7070
Type: Mailing
Kaiser Permanente Gwinnett Comprehensive Medical Center, 3650, Steve Reynolds Boulevard, Pleasant Hill, Duluth, Gwinnett County, Georgia, 30096, United States
KAISER PERMANENTE GWINNETT MEDICAL OFFICE
DULUTH, GA 30096
Phone: (770) 931-6030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $563.
Total Amount is formed as General ($563) + Research ($0) + Ownership ($0) = $563.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($150).
Total Amount
$563
General + Research + Ownership
Payments
7
Total payment records
General Amount
$563
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100309000082 | I | Cardiovascular Disease (Cardiology) | GA | TBD |
| I20240619001306 | I | Internal Medicine | WV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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