Shyam Padmanabhan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD31925 Issued in AL

Practice address

2055 E South Blvd Ste 403
Montgomery, AL 36116-2004

Phone

(334) 613-0807

NPI assigned

Sep 3, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Druid City Physician Services LLCGroup PAC ID 1759776107, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Merit-based Incentive Payment System (MIPS)

Final score

87.04 of 100Reported as individual

Quality

70.18

Promoting interoperability

100

Improvement activities

40

Cost

81.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (5 of 17)

Locations

Networks

• AL HMO
• MS PPO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO D-SNP
• TN PPO C-SNP
• AL HMO D-SNP
• FL PPO
• MS PPO D-SNP
• MS PPO C-SNP
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Druid City Physician Services, LLC

  • Maternal & Fetal Medicine Physician
  • Tuscaloosa, AL
  • NPI 1356911564

  AL

  Medicare reassignment Care Compare group NPD
• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  AL, Internal Medicine

  Medicare reassignment NPD
• Druid City Physician Services, LLC

  • Interventional Cardiology Physician
  • Tuscaloosa, AL
  • NPI 1619760162
  NPD
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic Inc.

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1578003745

  Cardiovascular Disease

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013224609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 403",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-613-0807",
            "fax_number": "334-386-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E SOUTH BLVD STE 403",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162004",
            "telephone_number": "334-613-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANABHAN",
        "first_name": "SHYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054079",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD31925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Ozgul, LPC
• Mine Oya Ozkazanc, MD
• P and D Transportation, LLC
• Kevin Pace, DO
• Paddington Transport LLC
• Enrique I Padron, USAF IDMT
• Keiera Page, MS, LPC, NCC
• Shameka Desinell Paige
• Pain Treatment Centers of Alabama, PC
• Patrick Tyler Pair, PA-C

• All providers in Montgomery, AL
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.