P Praxis·MD
● Active Type 1 · Individual

DR. Kshama Jawalekar, M.D.

Radiology·Decatur, GA· NPI 1407989742 · Enumerated 2007 · 19 years on NPI
Jawalekar is 1 of 9 radiology providers in Decatur and 1 of 220 in Georgia.
NPI age
19 years
Enumerated 2007-03-14
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
MO, WV
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 220 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 74% — 25% of peers are multi-state
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
150 E Ponce De Leon Ave, Suite 120
Decatur, GA 300302543
📞 8009985859fax 4043787460
Mailing address
150 E Ponce De Leon Ave, Suite 120
Decatur, GA 300302543
📞 8009985859fax 4043787460

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    MO license #2008016361WV license #12836 taxonomy 2085R0001X

Identifiers

TypeValueNotes
01 (MO) P00817807 RAILROAD MEDICARE-CB9013
05 (MO) 1407989742
01 431560263 TRICARE WEST
05 (AR) 176697001
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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