JOSE ANDUJAR (MD) – Colon & Rectal Surgery Physician, NPI 1821086554

JOSE ANDUJAR (MD) is a healthcare provider. based in Marietta, Georgia. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 35084250 (OH). The NPI Number for JOSE ANDUJAR (MD) is 1821086554

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
JOSE ANDUJAR (MD)
NPI
1821086554
Phone
(770) 428-0462
Address
55 WHITCHER ST NE
Enumeration Date
6 October 2005
Last Update Date
29 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1994 (32 years ago)
PAC ID
5496722423
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20090623000387
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes

Contacts

Secure Messaging
jandujar23039@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

89 COLORECTAL SURGERY (PROCTOLOGY) in GA

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Provider Addresses for JOSE ANDUJAR (MD)

  • 55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 130

    MARIETTA, GA 300601155

    Phone: (770) 428-0462

    Fax: (770) 427-8001

    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)

CMS reports 36 Open Payments records for all available years, with a total value of $4,629.

Total Amount is formed as General ($4,629) + Research ($0) + Ownership ($0) = $4,629.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,719).

Total Amount

$4,629

General + Research + Ownership

Payments

36

Total payment records

General Amount

$4,629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2009-06-23

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
I20090623000387IColorectal Surgery (Proctology)GATBD

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
99203New patient office or other outpatient visit, 30-44 minutes2121$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up JOSE ANDUJAR (MD) by NPI?
Use NPI 1821086554 when you need to reference JOSE ANDUJAR (MD) in forms, claims, or directories.
Does this profile mean JOSE ANDUJAR (MD) is currently active?
Yes — JOSE ANDUJAR (MD) appears active in the national provider directory.
What kind of provider is JOSE ANDUJAR (MD)?
The page reflects Colon & Rectal Surgery Physician for JOSE ANDUJAR (MD). Clinical services aligned with this taxonomy classification.
Does JOSE ANDUJAR (MD) practice in Georgia?
You will see Marietta, Georgia on file for JOSE ANDUJAR (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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