CONJEEVARAM R KESAVAN (MD) – Nephrology Physician, NPI 1912968801

CONJEEVARAM R KESAVAN (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Nephrology Physician. They hold the professional credentials MD. They hold a License No. 038529 (GA). The NPI Number for CONJEEVARAM R KESAVAN (MD) is 1912968801

Main info

Male
Name
CONJEEVARAM R KESAVAN (MD)
NPI
1912968801
Phone
(770) 962-1231
Address
605 OLD NORCROSS RD
Enumeration Date
30 March 2006
Last Update Date
25 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CONJEEVARAM R KESAVAN (MD)

  • Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30044, United States

    LAWRENCEVILLE, GA 30045

    Phone: (770) 962-1231

    Fax: (678) 325-3345

    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 2 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Novo Nordisk Inc ($114).

Total Amount

$147

General + Research + Ownership

Payments

2

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2011-11-15

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
I20111115000236INephrologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30045)

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Reviews

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Frequently asked questions

What NPI should I save for CONJEEVARAM R KESAVAN (MD)?
Save NPI 1912968801 if you need a stable reference for CONJEEVARAM R KESAVAN (MD).
Is CONJEEVARAM R KESAVAN (MD) active in the national directory?
CONJEEVARAM R KESAVAN (MD)'s public NPI profile is in an active state.
What kind of provider is CONJEEVARAM R KESAVAN (MD)?
The page reflects Nephrology Physician for CONJEEVARAM R KESAVAN (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for CONJEEVARAM R KESAVAN (MD)?
The page summarizes Lawrenceville, Georgia for CONJEEVARAM R KESAVAN (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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