DR. DEVENDAR KATKOORI (M.D) – Urology Physician, NPI 1477873156

DR. DEVENDAR KATKOORI (M.D) is a healthcare provider. based in Gainesville, Georgia. specializing in UROLOGY. They hold the professional credentials M.D. They hold a License No. 073783 (GA). The NPI Number for DR. DEVENDAR KATKOORI (M.D) is 1477873156

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEVENDAR KATKOORI (M.D)
NPI
1477873156
Phone
(770) 219-6520
Address
1315 JESSE JEWELL PKWY NE
Enumeration Date
4 June 2010
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6782058387
Graduation Year
1997 (29 years ago)
PAC ID
4082926175
Group Practice PAC ID
8921094376
Professional Enrollment ID
I20150701002810
Address ID
GA305012569GA675XXRDXX402

Contacts

Secure Messaging
dkatkoori29477@nghs.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

362 UROLOGY in GA

Provider Addresses for DR. DEVENDAR KATKOORI (M.D)

  • 1315 JESSE JEWELL PKWY NE

    SUITE 201

    GAINESVILLE, GA 305013822

    Phone: (770) 219-6520

    Fax: (770) 219-6521

    Type: Location

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Type: Mailing

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Type: Mailing

  • 1223 FRIENDSHIP RD STE 100

    BRASELTON, GA 305175608

    Phone: (678) 205-8387

    Fax: (678) 808-1039

    Type: Location

  • 1404 RIVER PL STE 402

    BRASELTON, GA 305175600

    Phone: (770) 219-8765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $354.

Total Amount is formed as General ($354) + Research ($0) + Ownership ($0) = $354.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($168).

Total Amount

$354

General + Research + Ownership

Payments

13

Total payment records

General Amount

$354

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-01

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
I20150701002810IUrologyGATBD

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
81003Automated urinalysis test235207$0
99214Established patient office or other outpatient visit, 30-39 minutes194173$0
36415Insertion of needle into vein for collection of blood sample156119$0
81001Manual urinalysis test with examination using microscope, automated142126$0
99204New patient office or other outpatient visit, 45-59 minutes119119$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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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: 8921094376View full group profile

Reviews

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Frequently asked questions

How do I look up DR. DEVENDAR KATKOORI (M.D) by NPI?
Use NPI 1477873156 when you need to reference DR. DEVENDAR KATKOORI (M.D) in forms, claims, or directories.
Does this profile mean DR. DEVENDAR KATKOORI (M.D) is currently active?
Yes — DR. DEVENDAR KATKOORI (M.D) appears active in the national provider directory.
What field does DR. DEVENDAR KATKOORI (M.D) work in?
You can think of DR. DEVENDAR KATKOORI (M.D) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DEVENDAR KATKOORI (M.D)?
The page summarizes Gainesville, Georgia for DR. DEVENDAR KATKOORI (M.D); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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