DR. SANJEEV KUMAR RALLY (M.D.) – Psychiatry Physician, NPI 1700152378
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
Provider Addresses for DR. SANJEEV KUMAR RALLY (M.D.)
750 TOWNPARK LN NW
BEHAVIORAL HEALTH
KENNESAW, GA 301445579
Phone:
Type: Mailing
750 Townpark Ln NW
Behavioral Health
Kennesaw, GA 301445579
Phone: (404) 365-0966
Type: Location
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 921303034
Phone: (925) 282-1778
Fax: (415) 296-5299
Type: Location
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: 2024-10-02
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 |
|---|---|---|---|---|
| I20191115001667 | I | Psychiatry | GA | TBD |
| I20241002000594 | I | Psychiatry | CA | 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 30144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | AZ | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | AZ | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Nurse Practitioner | CA |
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