Amitha Lakshmi Ananth, M.D.
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Birmingham, AL
NPI 1487952099 · NPPES record last updated Apr 12, 2019
Key facts
- NPI
- 1487952099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- MD36258 (AL)
- Practice address
- 1600 7TH Ave S
Birmingham, AL 35233 - Phone
- (205) 996-7850
- NPI assigned
- Mar 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Alabama School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 975-9925
Hospital & facility affiliations
- The Children'S Hospital of Alabama
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171208000368 | AL | Practitioner - Pediatric Medicine |
6406137280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114447 | CA | MD | Pediatrics Physician |
| MD36258 | AL | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC | Pediatrics | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587
1600 6th Ave S
#314
Birmingham, AL 35233
Phone (205) 996-7850
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
Interoperability endpoints
- aananth@direct.uabmedicine.org
- aananth17930@childrensofalabama.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A114447 | CA | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD36258 | AL | Yes |
| Pediatrics Physician | 208000000X | MD179528 | OR | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD179528 | OR |
Addresses
Primary practice location
1600 7TH Ave S
Birmingham, AL 35233
Mailing address
1600 6TH Ave S # Chb314
Birmingham, AL 35233-1701
Phone (205) 996-7850
Other practice location 1
9427 SW Barnes Rd
Ste 395
Portland, OR 97225-6652
Phone (503) 216-6050
Other practice location 2
9427 SW Barnes Rd
Ste 395
Portland, OR 97225-6652
Phone (503) 216-6050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500719279 | Medicaid | OR |
Other providers in Birmingham, AL
- Priam Hope Amrit
- Ellen Amrock
- Amt Medical Staffing
- Stephanie Doss Amuso
- Amy Ray LLC
- Abubakar Andani
- Emma Mitchell Andersen
- Aliyah W Anderson
- Alysia Anderson
- Amanda Sarah Hinten Anderson
All providers in Birmingham, AL · Neurology with Special Qualifications in Child Neurology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.