Individual provider Active NPI

Vaishali Thudi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Montgomery, AL
National Provider Identifier
1699039172
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
36099 Issued in AL
Practice address
2119 E South Blvd Ste 200
Montgomery, AL 36116-2496
Phone
(334) 613-7070
Fax
(334) 613-7072
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 36099 AL Primary

Addresses

Primary practice location

2119 E South Blvd Ste 200
Montgomery, AL 36116-2496

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

Other identifiers 5

IdentifierTypeStateIssuer
102I462284OtherALMEDICARE
204726MedicaidAL
4316622OtherALCIGNA
Z52063OtherALVIVA HEALTH
512-00176OtherALBCBS OF ALABAMA

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
I20171201000883 AL Practitioner - EndocrinologyPractitioner - Internal Medicine 4880951797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2119 E S Blvd
Suite 100
Montgomery, AL 36116-2496
Phone (334) 613-7070

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

State licenses

LicenseStateTypeSpecialty
36099ALMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 6, 2017 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Internal Medicine CurrentSince Nov 6, 2017 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

2119 E South Blvd
Ste 100
Montgomery, AL 36116
Phone (334) 613-7070

2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

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

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

Organizations & group practices 4

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 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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1699039172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 E SOUTH BLVD STE 200",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162496",
            "telephone_number": "334-613-7070",
            "fax_number": "334-613-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUDI",
        "first_name": "VAISHALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "36099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "102I462284",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204726",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4316622",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA HEALTH",
            "identifier": "Z52063",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "512-00176",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.