DR. NITYA STHALEKAR (NPI# 1013197995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013197995 |
| Entity Type | Individual |
| Full Name | DR. NITYA STHALEKAR |
| Credential | MD |
| Practice Address |
200 S Enota Dr Ne Ste 100 Gainesville GA 30501-3466 |
| Mailing Address |
Po Box 742616 Atlanta GA 30374-2616 |
| Practice Telephone | 7705342020 |
| Practice Fax Number | 7705348025 |
| Mailing Telephone | 7702198420 |
| Mailing Fax Number | 7702198440 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
85712 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
200 S ENOTA DR NE STE 100 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572069 | Sudhakara Babu Chennareddy | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2005-07-18 |
| 1740739853 | Christopher Blake Ennis | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2016-09-30 |
| 1437530326 | Shelley A. Robertson | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2015-06-16 |
| 1801288337 | Rachel E Lebolo | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2015-02-20 |
| 1043631096 | Heather Michelle Tillery | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2013-12-18 |
| 1851721161 | Elizabeth Illing | Nurse Practitioner | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 | 2013-11-22 |
| 1558687384 | Ugochukwu Onyibo Egolum | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2010-04-19 |
| 1386872729 | Vedang J Bhavsar | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2009-06-24 |
| 1740431295 | Santhi Adigopula | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2008-10-02 |
| 1578727038 | Ioannis Parastatidis | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477976520 | Heart Center, LLC | Internal Medicine | 200 S Enota Dr Ne Ste 200, Gainesville, GA 30501-3466 | 2014-01-27 |
| 1558687384 | Ugochukwu Onyibo Egolum | Internal Medicine | 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518283282 | Mahmoud Abdou | Internal Medicine | 1365 Clifton Rd Ne Bldg A2nd, Atlanta, GA 30322-3466 | 2010-04-20 |
| 1982832267 | Brian Howard | Internal Medicine | 175 White St Nw Ste 100, Marietta, GA 30060 | 2009-06-25 |
| 1538515739 | Umg Congestive Heart Failure, LLC | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2016-05-06 |
| 1780893073 | Mehrdad Seilanian Toosi | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2007-05-22 |
| 1649221821 | Brenda Jane Hott | Internal Medicine | 1110 W Peachtree St Nw Ste 920, Atlanta, GA 30309-3609 | 2006-05-13 |
| 1033170097 | Darshak K Karia | Internal Medicine | 1350 Walton Way, Augusta, GA 30901-2612 | 2006-03-30 |
| City | GAINESVILLE |
| Zip Code | 30501 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.