Individual provider Active NPI

Amitha Lakshmi Ananth, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Birmingham, AL
National Provider Identifier
1487952099
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD36258 Issued in AL
Practice address
1600 7TH Ave S
Birmingham, AL 35233
Phone
(205) 996-7850
NPI assigned
Mar 5, 2011
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A114447 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD36258 AL Primary
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

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
I20171208000368 AL Practitioner - Pediatric MedicinePractitioner - Neurology 6406137280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 975-9925

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114447CAMDPediatrics Physician
MD36258ALMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 1, 2017 Accepting new patients
University of Alabama Health Services Foundation, PC Pediatrics CurrentSince Oct 1, 2017 Accepting new patients

Locations

1600 6th Ave S
#314
Birmingham, AL 35233
Phone (205) 996-7850

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

703 Volker Hall
Birmingham, AL 35294
Phone (205) 934-3795

Interoperability endpoints

  • Direct secure messaging: aananth@direct.uabmedicine.org
  • Direct secure messaging: aananth17930@childrensofalabama.direct-ci.com

Organizations & group practices 2

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": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1487952099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 6TH AVE S # CHB314",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331701",
            "telephone_number": "205-996-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35233",
            "telephone_number": "205-996-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9427 SW Barnes Rd",
            "address_2": "STE 395",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256652",
            "country_code": "US",
            "telephone_number": "503-216-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9427 SW Barnes Rd",
            "address_2": "STE 395",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256652",
            "country_code": "US",
            "telephone_number": "503-216-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "AMITHA",
        "middle_name": "LAKSHMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-05",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A114447",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AL",
            "license": "MD36258",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD179528",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "OR",
            "license": "MD179528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.