DR. LEENA DUTTA (M.D.) – Hospitalist Physician, NPI 1760429948
Hospitalist Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,405 INTERNAL MEDICINE in GA
Provider Addresses for DR. LEENA DUTTA (M.D.)
P.O. BOX 403631
ATLANTA, GA 303840001
Phone: (770) 740-0895
Fax: (770) 740-0896
Type: Mailing
541 441 HISTORIC HWY N
DEMOREST, GA 305354528
Phone: (770) 219-9179
Type: Location
3000 Hospital Blvd
Roswell, GA 300764915
Phone: (770) 751-2777
Fax: (770) 751-2773
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
2150 LIMESTONE PKWY STE 222
GAINESVILLE, GA 305012567
Phone: (770) 219-8888
Type: Location
WellStar North Fulton Hospital, 3000, Hospital Boulevard, Roswell, Fulton County, Georgia, 30076, United States
ROSWELL, GA 300764915
Phone: (770) 751-2777
Fax: (770) 751-2773
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: 2004-11-18
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 |
|---|---|---|---|---|
| I20041118000219 | I | Internal Medicine | 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 30384)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| - | GA | |
| Hospice/Palliative Care, Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | GA | |
| H O S P I T A L I S T | GA |
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