Prateek Gandiga, MD
NPI 1619193844 · Rheumatology Physician · Atlanta, GA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prateek Gandiga, MD is a Rheumatology Physician provider in Atlanta, GA (NPI 1619193844).
Provider details
- NPI number
- 1619193844
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD038949 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
327 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 202 | $145 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 44 | $95 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 40 | $190 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 25 | $139 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 16 | $174 |
Typical Medicare-allowed amounts for these services range $95–$190 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 208 | 64 |
| Methotrexate Sodiumbrand: Methotrexate | 181 | 48 |
| Prednisone | 148 | 58 |
| Azathioprine | 115 | 33 |
| Duloxetine Hcl | 97 | 29 |
| Allopurinol | 60 | 22 |
| Mycophenolate Mofetil | 53 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$106 across 3 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
Additional practice locations (4)
- 3800 Reservoir Rd NwWashington, DC 20007-2113Phone: (202) 444-3976Fax: (202) 444-1460
- 550 Peachtree St NeAtlanta, GA 30308-2212Phone: (404) 686-4411
- 1364 Clifton Rd NeAtlanta, GA 30322-2113Phone: (404) 712-2000
- 80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031Phone: (404) 616-1000
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Prateek Gandiga's NPI number?
- Prateek Gandiga's National Provider Identifier (NPI) is 1619193844, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prateek Gandiga's specialty?
- Prateek Gandiga is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prateek Gandiga located?
- Prateek Gandiga's practice location on file with NPPES is 1365 Clifton Rd Ne Bldg a, Atlanta, GA 30322-2113.
- What is Prateek Gandiga's phone number?
- The practice phone number listed in the NPPES registry for Prateek Gandiga is (404) 778-3539.
- Does Prateek Gandiga accept Medicare?
- Prateek Gandiga is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prateek Gandiga's NPI active?
- Yes — Prateek Gandiga's NPI (1619193844) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.