Ajay Premkumar, MD, MPH
NPI 1194188458 · Adult Reconstructive Orthopaedic Surgery Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ajay Premkumar, MD, MPH is a Adult Reconstructive Orthopaedic Surgery Physician provider in Atlanta, GA (NPI 1194188458).
Provider details
- NPI number
- 1194188458
- Entity type
- Individual
- Primary specialty
- Adult Reconstructive Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- 91707 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
694 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 182 | $127 |
| Computer-Assisted Surgery for Muscle and Bone Procedure20985 | 124 | $146 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 80 | $181 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 62 | $1,311 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 60 | $169 |
| X-Ray of Knee, 4 Or More Views73564 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 132 | 101 |
| Meloxicam | 113 | 90 |
| Ondansetron Hcl | 95 | 91 |
| Methylprednisolone | 61 | 58 |
| Amoxicillin | 36 | 29 |
| Diclofenac Sodium | 21 | 14 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 18 | 12 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24,821 across 28 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-04-03
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Frequently asked questions
- What is Ajay Premkumar's NPI number?
- Ajay Premkumar's National Provider Identifier (NPI) is 1194188458, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ajay Premkumar's specialty?
- Ajay Premkumar is listed in the NPPES registry with a primary specialty of Adult Reconstructive Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ajay Premkumar located?
- Ajay Premkumar's practice location on file with NPPES is 21 Ortho Ln, Atlanta, GA 30329-2315.
- What is Ajay Premkumar's phone number?
- The practice phone number listed in the NPPES registry for Ajay Premkumar is (678) 336-6928.
- Does Ajay Premkumar accept Medicare?
- Ajay Premkumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ajay Premkumar's NPI active?
- Yes — Ajay Premkumar's NPI (1194188458) is active in the NPPES registry as of the last update on 2022-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.