KARTHIKEYAN PONNUSAMY (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1265722698

KARTHIKEYAN PONNUSAMY (M.D.) is a healthcare provider. based in Woodstock, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 27416 (WV). The NPI Number for KARTHIKEYAN PONNUSAMY (M.D.) is 1265722698

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
KARTHIKEYAN PONNUSAMY (M.D.)
NPI
1265722698
Phone
(770) 926-9112
Address
1505 STONE BRIDGE PKWY STE 200
Enumeration Date
19 April 2011
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704275717
Graduation Year
2011 (15 years ago)
PAC ID
0840448486
Group Practice PAC ID
6204723216
Professional Enrollment ID
I20171007000334
Address ID
GA300609403MA300XXNEXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

933 ORTHOPEDIC SURGERY in GA

Provider Addresses for KARTHIKEYAN PONNUSAMY (M.D.)

  • 1505 STONE BRIDGE PKWY STE 200

    WOODSTOCK, GA 301898282

    Phone: (770) 926-9112

    Fax: (770) 926-8240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171007000334IOrthopedic SurgeryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg4,40050$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2,510311$0
Q9965Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml2,40020$0
J1100Injection, dexamethasone sodium phosphate, 1 mg1,244167$0
J7332Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg76011$0
View full utilization report →

Insurance plans in this area (ZIP 30189)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204723216View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physician AssistantGA
Physical Therapist In Private PracticeOH
-GA
-GA
Orthopedic SurgeryGA
-GA
Physician AssistantGA
Physical Medicine And RehabilitationGA

Reviews

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Frequently asked questions

Does KARTHIKEYAN PONNUSAMY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KARTHIKEYAN PONNUSAMY (M.D.) uses 1265722698.
Is KARTHIKEYAN PONNUSAMY (M.D.) listed as active for patients and plans?
The listing shows KARTHIKEYAN PONNUSAMY (M.D.) as active in the NPI system.
What is KARTHIKEYAN PONNUSAMY (M.D.) best known for clinically?
Directory data describes KARTHIKEYAN PONNUSAMY (M.D.) with Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does KARTHIKEYAN PONNUSAMY (M.D.) list a practice location?
Patients near Woodstock, Georgia may find KARTHIKEYAN PONNUSAMY (M.D.) in results; validate coverage separately.
Is the information about KARTHIKEYAN PONNUSAMY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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