Individual provider Active NPI

Vijayaprasad Tummala, MD

  • Gastroenterology Physician
  • Gadsden, AL
National Provider Identifier
1104818616
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
12339 Issued in AL
Practice address
900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107
Phone
(256) 492-3220
Fax
(256) 492-3759
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12339 AL Primary

Addresses

Primary practice location

900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107

Mailing address

900 Goodyear Ave
Suite a
Gadsden, AL 35903-1107
Phone (256) 492-3220

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100831000007 AL Practitioner - Gastroenterology 1850484239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Specialists of N.E. Alabama, P.C.Group PAC ID 2062430853, 2 clinicians

Practice addresses (Care Compare)

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-6655

900 Goodyear Ave
Suite a
Gadsden, AL 35903-1145
Phone (256) 492-3220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12339ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialists of N.E. Alabama, P.C. CurrentSince Dec 1, 1991 Accepting new patients
Gadsden Endoscopy, LLC PastSince Oct 1, 2008 Accepting new patients
Anesthesia Associates Past Accepting new patients

Locations

900 Goodyear Ave
Ste A
Gadsden, AL 35903
Phone (205) 546-4777

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJECBA/Endpoint/IJECBA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1104818616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-3220",
            "fax_number": "256-492-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE A",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-3220",
            "fax_number": "256-492-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "VIJAYAPRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "12339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.