FAIROZ RADTKE (PA-C) – Physician Assistant, NPI 1114207032
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FAIROZ RADTKE (PA-C)
5400 LAUREL SPRINGS PKWY
SUITE 1401
SUWANEE, GA 300246056
Phone: (678) 513-2228
Fax: (678) 513-1147
Type: Location
5850 EUBANK BLVD NE
STE B32
ALBUQUERQUE, NM 871116127
Phone: (678) 513-2228
Fax: (678) 513-1147
Type: Mailing
960 LIBERTY ST SE STE 170
SALEM, OR 973024149
Phone: (815) 578-6109
Fax: (312) 268-5053
Type: Mailing
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: 2015-01-08
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 |
|---|---|---|---|---|
| I20150108002252 | I | Physician Assistant | NM | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 85 | 85 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 74 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 67 | 57 | $0 |
| 81002 | Urinalysis, manual test | 38 | 31 | $0 |
Insurance plans in this area (ZIP 30024)
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