MRS. NEENA DESAI GHOSE MD NPI 1669607008

NPI Information

NPI: 1669607008
Provider Name: MRS. NEENA DESAI GHOSE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 200 CRESCENT CENTER PARKWAY
KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA
ZIP 30084
Phone: (770) 496-3414

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NPI Details

MRS. Neena Desai Ghose, MD is a family medicine in Tucker, GA with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Neena Desai Ghose, MD NPI is 1669607008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2009

The provider's business location address is:

200 CRESCENT CENTER PARKWAY
KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA
ZIP 30084
Phone: (770) 496-3414
Fax: (215) 923-9186

The NPI 1669607008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Administration of influenza virus vaccine (HCPCS:G0008)
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 5/28/2009 and was last updated on 3/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	MD446165	PENNSYLVANIA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207Q00000X	Family Medicine	069119	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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