Individual provider Active NPI

Pavankumar Ramprasad Panchavati, M.D., MPH

  • Hospitalist Physician
  • Huntsville, AL
National Provider Identifier
1346443439
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.30402 Issued in AL
Practice address
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone
(256) 265-3880
Fax
(256) 265-3886
NPI assigned
Jun 7, 2007
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30402 AL
Hospitalist Physician 208M00000X MD.30402 AL Primary

Addresses

Primary practice location

101 Sivley Rd SW
Huntsville, AL 35801-4421

Mailing address

PO Box 21007
Huntsville, AL 35813-5007
Phone (256) 265-3880

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
I20100924000004 AL Practitioner - Family Practice 5496871733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physician CareGroup PAC ID 4082042940, 108 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-9870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.30402ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Healthcare Authority of the City of Huntsville Hospitalist CurrentSince Aug 1, 2010 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

Interoperability endpoints

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

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1346443439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007",
            "telephone_number": "256-265-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-3880",
            "fax_number": "256-265-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAVATI",
        "first_name": "PAVANKUMAR",
        "middle_name": "RAMPRASAD",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30402",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.30402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.