Dr Arvind Jayaraj Ponnambalam, MD - Medicare Critical Care (intensivists) in Fayetteville, GA

Dr Arvind Jayaraj Ponnambalam, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fayetteville, Georgia. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Piedmont Providers Llc, Piedmont Specialty Hospital Billing Llc and his current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 367-3014.

Dr Arvind Jayaraj Ponnambalam is licensed to practice in Georgia (license number 076655) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073704581.

Contact Information

Dr Arvind Jayaraj Ponnambalam, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526
(404) 367-3014
Not Available

Map and Direction




Physician's Profile

Full NameDr Arvind Jayaraj Ponnambalam
GenderMale
SpecialityCritical Care (intensivists)
Experience19 Years
Location1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Arvind Jayaraj Ponnambalam graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1073704581
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 09/28/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7113178070
  • Enrollment ID: I20161019002063

Medical Identifiers

Medical identifiers for Dr Arvind Jayaraj Ponnambalam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073704581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 076655 (Georgia)Primary
207RP1001XInternal Medicine - Pulmonary Disease 076655 (Georgia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825371
Piedmont Specialty Hospital Billing Llc4183986490179

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Arvind Jayaraj Ponnambalam allows following entities to bill medicare on his behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NamePiedmont Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376624940
PECOS PAC ID: 3274529524
Enrollment ID: O20040423000767
Entity NamePiedmont Specialty Hospital Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Arvind Jayaraj Ponnambalam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Arvind Jayaraj Ponnambalam, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (404) 367-3014
Dr Arvind Jayaraj Ponnambalam, MD
1255 Highway 54 W,
Fayetteville, GA 30214-4526

Ph: (404) 367-3014

Reviews and Comments


Internal Medicine Doctors in Fayetteville, GA

Carzadean Bernadette Hall, M.D.
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 185 Franklin Farms Cir, Fayetteville, GA 30214
Phone: 404-216-0132    
Vipin Ramprasad Lohiya, M.D.
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Medicare: May Accept Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 4200, Fayetteville, GA 30214
Phone: 678-829-1060    Fax: 678-829-1099
Connie Dupre, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W, Suite 5200, Fayetteville, GA 30214
Phone: 770-719-5601    
Sushee C Gadde, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214
Phone: 770-716-0051    Fax: 770-716-0087
Dr. John E Burney, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 678-817-6550    Fax: 404-350-8795
Dr. Bryan L Woods, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214
Phone: 770-719-3240    Fax: 770-719-3241

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.