Provider profile

Abesh NiroulaMD

Internal Medicine, Pulmonary Disease

3 locationsNPI 1871856468

1364 Clifton Rd NE, Atlanta, GA 30322404-727-9650

2027 Medicare Advantage

Check your plan

Medicare Advantage plans for DeKalb County, GA, Philadelphia County, PA and Crisp County, GA.

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Insurance company

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Directory results See what each insurance company reports

Listed on 67 plans so far

Some of Humana, Aetna Medicare, UnitedHealthcare, Devoted, Anthem Blue Cross and Blue Shield, HealthSpring, Clover Health, PruittHealth Premier, Geisinger Gold, Highmark Blue Cross Blue Shield or Highmark Blue Shield, Highmark Wholecare Medicare Assured, Jefferson Health Plans, Kaiser Permanente, Perennial Advantage, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellcare's 2027 plans in DeKalb County, GA, Philadelphia County, PA and Crisp County, GA haven't been checked yet.

The 196 Medicare Advantage plans we show for DeKalb County, GA, Philadelphia County, PA and Crisp County, GA in 2027

67 list Abesh
21 not listed
108 not checked yet

Humana

26 plans list Abesh; not listed on 1 other plan.

26plans

Humana Gold Plus Giveback H4141-022 (HMO)
Source: Humana provider directory.
Listed offices for this plan:
- 5673 Peachtree Dunwoody Rd, Atlanta, GA, 30342
- 57 Executive Park South NE, Atlanta, GA, 30329
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3.5 starsH4141-022-000Medicare.gov
$0a month
Humana Gold Plus H4141-015 (HMO)
Source: Humana provider directory.
Listed offices for this plan:
- 5673 Peachtree Dunwoody Rd, Atlanta, GA, 30342
- 57 Executive Park South NE, Atlanta, GA, 30329
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3.5 starsH4141-015-000Medicare.gov
$0a month
Humana Gold Plus H4141-017 (HMO)
Source: Humana provider directory.
Listed offices for this plan:
- 5673 Peachtree Dunwoody Rd, Atlanta, GA, 30342
- 57 Executive Park South NE, Atlanta, GA, 30329
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3.5 starsH4141-017-003Medicare.gov
$0a month
Humana Gold Plus H4141-023 (HMO)
Source: Humana provider directory.
Listed offices for this plan:
- 5673 Peachtree Dunwoody Rd, Atlanta, GA, 30342
- 57 Executive Park South NE, Atlanta, GA, 30329
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3.5 starsH4141-023-000Medicare.gov
$0a month

15 more Humana plans haven't been checked yet.

Aetna Medicare

10 plans list Abesh; not listed on 2 other plans.

10plans

Aetna Medicare Eagle Extra Plus (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 57 Executive Park South NE, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage3.5 starsH2293-009-000Medicare.gov
$0a month
Aetna Medicare Eagle Plus (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 57 Executive Park South NE, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage3.5 starsH3288-034-000Medicare.gov
$0a month
Aetna Medicare Elite (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 57 Executive Park South NE, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage4 starsH5521-091-000Medicare.gov
$0a month
Aetna Medicare Elite Giveback (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 57 Executive Park South NE, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage3.5 starsH2293-010-000Medicare.gov
$0a month

16 more Aetna Medicare plans haven't been checked yet.

UnitedHealthcare

8 plans list Abesh.

8plans

AARP Medicare Advantage from UHC GA-10 (HMO-POS)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 550 Peachtree St NE, Atlanta, GA, 30308
This result applies to these offices. Other locations are not confirmed.
HMO-POSDrug coverage3.5 starsH5322-053-000Medicare.gov
$0a month
UHC Medicare Advantage Patriot No Rx GS-MA01 (Regional PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 550 Peachtree St NE, Atlanta, GA, 30308
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage3.5 starsR2604-005-000Medicare.gov
$0a month
UHC Dual Complete GA-Q2 (PPO D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 550 Peachtree St NE, Atlanta, GA, 30308
This result applies to these offices. Other locations are not confirmed.
PPOFor people with Medicare and MedicaidDrug coverage3.5 starsH3256-005-001Medicare.gov
$0a month
UHC Dual Complete GA-Q3 (HMO-POS D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 550 Peachtree St NE, Atlanta, GA, 30308
This result applies to these offices. Other locations are not confirmed.
HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH5322-050-001Medicare.gov
$0a month

22 more UnitedHealthcare plans haven't been checked yet.

Devoted

7 plans list Abesh.

7plans

DEVOTED CHOICE 001 GA (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Atlanta, GA, 30329
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage4 starsH5453-001-000Medicare.gov
$0a month
DEVOTED CHOICE GIVEBACK 002 GA (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Atlanta, GA, 30329
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage4 starsH5453-002-000Medicare.gov
$0a month
DEVOTED CHOICE GIVEBACK EXTRAS 022 GA (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Atlanta, GA, 30329
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage4 starsH5453-022-000Medicare.gov
$0a month
DEVOTED CHOICE MA ONLY 003 GA (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Atlanta, GA, 30329
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage4 starsH5453-003-000Medicare.gov
$0a month

9 more Devoted plans haven't been checked yet.

Anthem Blue Cross and Blue Shield

6 plans list Abesh.

6plans

Anthem Veteran (HMO-POS)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2665 N Decatur Rd, Decatur, GA, 30033
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 550 Peachtree St NE, Atlanta, GA, 30308
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 4786 Briarcliff Rd NE, Atlanta, GA, 30345
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
- 11 Upper Riverdale Rd SW, Riverdale, GA, 30274
This result applies to these offices. Other locations are not confirmed.
HMO-POSNo drug coverage3.5 starsH5422-014-000Medicare.gov
$0a month
Anthem Veteran (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2665 N Decatur Rd, Decatur, GA, 30033
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 550 Peachtree St NE, Atlanta, GA, 30308
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 4786 Briarcliff Rd NE, Atlanta, GA, 30345
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
- 11 Upper Riverdale Rd SW, Riverdale, GA, 30274
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage4.5 starsH4036-040-000Medicare.gov
$0a month
Anthem Medicare Advantage 2 (HMO-POS)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2665 N Decatur Rd, Decatur, GA, 30033
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 550 Peachtree St NE, Atlanta, GA, 30308
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 4786 Briarcliff Rd NE, Atlanta, GA, 30345
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
- 11 Upper Riverdale Rd SW, Riverdale, GA, 30274
This result applies to these offices. Other locations are not confirmed.
HMO-POSDrug coverage3.5 starsH5422-020-000Medicare.gov
$55a month
Anthem Dual Advantage (HMO D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2665 N Decatur Rd, Decatur, GA, 30033
- 2675 N Decatur Rd, Decatur, GA, 30033
- 2701 N Decatur Rd, Decatur, GA, 30033
- 550 Peachtree St NE, Atlanta, GA, 30308
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 4786 Briarcliff Rd NE, Atlanta, GA, 30345
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
- 11 Upper Riverdale Rd SW, Riverdale, GA, 30274
This result applies to these offices. Other locations are not confirmed.
HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5422-018-000Medicare.gov
$0a month

HealthSpring

6 plans list Abesh.

6plans

HealthSpring Preferred (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Ste 480, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3 starsH0439-015-002Medicare.gov
$0a month
HealthSpring Preferred GA (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Ste 480, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3 starsH0439-003-001Medicare.gov
$0a month
HealthSpring Preferred Savings (HMO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Ste 480, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
HMODrug coverage3 starsH0439-016-000Medicare.gov
$0a month
HealthSpring True Choice (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 2675 N Decatur Rd, Decatur, GA, 30033
- 57 Executive Park S, Ste 480, Atlanta, GA, 30329
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
- 5665 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
- 2801 DeKalb Medical Pkwy, Lithonia, GA, 30058
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage3 starsH7849-145-000Medicare.gov
$0a month

7 more HealthSpring plans haven't been checked yet.

Clover Health

3 plans list Abesh.

3plans

Clover Health LiveHealthy (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage5 starsH5141-026-000Medicare.gov
$0a month
Clover Health Valor (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
This result applies to these offices. Other locations are not confirmed.
PPONo drug coverage5 starsH5141-056-000Medicare.gov
$0a month
Clover Health LiveHealthy Premier (PPO)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1365 Clifton Rd NE, Atlanta, GA, 30322
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 550 Peachtree St NE, Atlanta, GA, 30308
- 5673 Peachtree Dunwoody Rd, Sandy Springs, GA, 30342
This result applies to these offices. Other locations are not confirmed.
PPODrug coverage5 starsH5141-045-000Medicare.gov
$35a month

3 more Clover Health plans haven't been checked yet.

PruittHealth Premier

1 plan lists Abesh.

1plan

PruittHealth Premier D-SNP (HMO D-SNP)
Source: Medicare.gov provider data.
Listed offices for this plan:
- 1364 Clifton Rd NE, Atlanta, GA, 30322
- 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303
This result applies to these offices. Other locations are not confirmed.
HMOFor people with Medicare and MedicaidDrug coverageH3291-002-000Medicare.gov
$0a month

Geisinger Gold

Not checked yet.

Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

Not checked yet.

Highmark Wholecare Medicare Assured

Not checked yet.

Jefferson Health Plans

Not checked yet.

Kaiser Permanente

Not listed on its 8 plans here. That isn't proof they're out of network.

Perennial Advantage

Not checked yet.

UPMC for Life

Not checked yet.

UPMC for Life Complete Care

Not checked yet.

VISTA Health Plan Inc.

Not checked yet.

Wellcare

Not checked yet.

4 more Wellcare plans haven't been checked yet.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Abesh takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Where they practice

3 practice locations

1364 Clifton Rd NE
Atlanta, GA 30322

404-727-9650 Directions

NPI Registry

5501 Old York Rd
Philadelphia, PA 19141

215-456-7943 Directions

NPI Registry

902 N 7th St
Cordele, GA 31015

229-276-3100 Directions

NPI Registry

NPI issued: 2012
Registry record updated: Apr 29, 2021

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Abesh Niroula?

In DeKalb County, GA, Philadelphia County, PA and Crisp County, GA, 67 Medicare Advantage plans for 2027 list Abesh in provider data from Medicare.gov or the carrier, including Humana Gold Plus Giveback H4141-022 (HMO), Humana Gold Plus H4141-015 (HMO) and Humana Gold Plus H4141-017 (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Abesh Niroula practice?

3 locations, including 1364 Clifton Rd NE, Atlanta, GA. All of them are listed on this page.

How do I confirm Abesh is in my plan's network?

Call the member services number on your plan card and give them the NPI 1871856468, or ask a Silverpath advisor to check for you. It's free.

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For providers

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Patients can use Silverpath to find practices and check plan networks in DeKalb County, GA, Philadelphia County, PA and Crisp County, GA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

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Nearby

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Abesh NiroulaMD

Check your plan

Original Medicare status

3 practice locations

Common questions

Talk to a licensed advisor

Is this your practice?

Other internal medicine, pulmonary disease providers near Atlanta