Individual provider Active NPI

Jyothiprasanna Tummala, M.D.

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1134227614
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.29810 Issued in AL
Practice address
1026 Goodyear Ave
Ste 100
Gadsden, AL 35903-1194
Phone
(256) 492-8250
Fax
(256) 492-8271
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.29810 AL Primary

Addresses

Primary practice location

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903-1194

Mailing address

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903-1194
Phone (256) 492-8250

Other identifiers 3

IdentifierTypeStateIssuer
MD.29810OtherALMD LICENSE
115526MedicaidAL
116801OtherALMEDICAID - LOCATION:851 GOODYEAR AVE, GADSDEN, AL 35903-1133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyothiprasanna.tummala.1@1831.direct.athenahealth.com Direct

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
I20100105000648 AL Practitioner - Internal Medicine 0143228072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.29810ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Physician Group Practice LLC Internal Medicine CurrentSince Dec 7, 2009 Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 100
Gadsden, AL 35903
Phone (256) 413-6240

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • Direct secure messaging: jyothiprasanna.tummala.1@1831.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4

Organizations & group practices 1

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 9

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1134227614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-492-8250",
            "fax_number": "256-492-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-492-8250",
            "fax_number": "256-492-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMALA",
        "first_name": "JYOTHIPRASANNA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.29810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD.29810",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115526",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - LOCATION:851 GOODYEAR AVE, GADSDEN, AL 35903-1133",
            "identifier": "116801",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyothiprasanna.tummala.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1026 GOODYEAR AVE",
            "address_2": "STE 100",
            "city": "GADSDEN",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.