DR. REZA H SUTANDI (MD) – Obstetrics & Gynecology Physician, NPI 1639146087
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
Provider Addresses for DR. REZA H SUTANDI (MD)
PO BOX 116156
ATLANTA, GA 303686156
Phone: (678) 312-5525
Fax: (770) 339-2120
Type: Mailing
1942 ATKINSON RD
SUITE 100
LAWRENCEVILLE, GA 300435004
Phone: (678) 775-0600
Fax: (678) 377-5284
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
1404 RIVER PL STE 303
BRASELTON, GA 305175600
Phone: (770) 848-9335
Type: Location
1942 Atkinson Rd
Suite 100
Lawrenceville, GA 300435004
Phone: (678) 775-0600
Fax: (678) 377-5284
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $4,962.
Total Amount is formed as General ($4,962) + Research ($0) + Ownership ($0) = $4,962.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,518).
Total Amount
$4,962
General + Research + Ownership
Payments
56
Total payment records
General Amount
$4,962
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,518 |
| SHIELD THERAPEUTICS INC | $439 |
| Shield Therapeutics Inc | $302 |
| Exeltis, USA Inc. | $196 |
| Sumitomo Pharma America, Inc. | $81 |
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: 2011-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111028000481 | I | Obstetrics/Gynecology | GA | 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 30368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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