JEEVITH R KANUKUNTA (M.D.) – Interventional Cardiology Physician, NPI 1851338727
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA
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Provider Addresses for JEEVITH R KANUKUNTA (M.D.)
350, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States
SUITE A
STOCKBRIDGE, GA 302819084
Phone: (770) 692-4000
Fax: (770) 692-2406
Type: Location
3333 JODECO ROAD
SUITE A
MCDONOUGH, GA 30253
Phone: (770) 692-4000
Fax: (770) 474-8510
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $1,606.
Total Amount is formed as General ($1,606) + Research ($0) + Ownership ($0) = $1,606.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($625).
Total Amount
$1,606
General + Research + Ownership
Payments
119
Total payment records
General Amount
$1,606
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-10-14
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 |
|---|---|---|---|---|
| I20101014000024 | I | Cardiovascular Disease (Cardiology) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,281 | 584 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,089 | 765 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 769 | 193 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 709 | 544 | $0 |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 483 | 244 | $0 |
Insurance plans in this area (ZIP 30281)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 283 | 283 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 72 | 61 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | GA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 39 | 39 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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