NPIMap

Individual provider Active NPI

Susmitha Nimmagadda, MD

  • Hematology & Oncology Physician
  • Prattville, AL
National Provider Identifier
1689847436
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
29950 Issued in AL
Practice address
645 McQueen Smith Road
Suite 207
Prattville, AL 36066-7263
Phone
(334) 351-1000
Fax
(334) 273-2228
NPI assigned
Apr 11, 2008
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 29950 AL Primary

Addresses

Primary practice location

645 McQueen Smith Road
Suite 207
Prattville, AL 36066-7263

Mailing address

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Other practice location 1

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000580 AL Practitioner - Hematology/OncologyPractitioner - Medical Oncology 4789858408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 273-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince May 1, 2014 Accepting new patients
The Health Care Authority for Baptist Health Hematology & Oncology CurrentSince May 1, 2014 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
The Health Care Authority for Baptist Health Past Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4145 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

645 McQueen Smith Rd N
Ste 207
Prattville, AL 36066
Phone (334) 351-1000

Interoperability endpoints

  • Direct secure messaging: susmitha.nimmagadda@direct.baptistfirst.org

Organizations & group practices 6

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 2

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": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1689847436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH ROAD",
            "address_2": "SUITE 207",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667263",
            "telephone_number": "334-351-1000",
            "fax_number": "334-273-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4145 Carmichael Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062803",
            "country_code": "US",
            "telephone_number": "334-273-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMMAGADDA",
        "first_name": "SUSMITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AL",
            "license": "29950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.