Individual provider Active NPI

Subramaniam Bala Sundar, MD

  • Gastroenterology Physician
  • Tuscaloosa, AL
National Provider Identifier
1699713008
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11821 Issued in AL
Practice address
1774 McFarland Blvd N
Tuscaloosa, AL 35406
Phone
(205) 759-2920
Fax
(205) 759-1344
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 11821 AL Primary

Addresses

Primary practice location

1774 McFarland Blvd N
Tuscaloosa, AL 35406

Mailing address

2423 Brandonwood Rd
Tuscaloosa, AL 35406
Phone (205) 345-3685

Other identifiers 2

IdentifierTypeStateIssuer
051512201MedicaidAL
51512201OtherALBCBS

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
I20040225000048 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 4789570110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G I Associates of West Alabama PCGroup PAC ID 4082654314, 22 clinicians

Practice addresses (Care Compare)

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 759-2920

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
99.32
Promoting interoperability
100
Improvement activities
40
Cost
83.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy76
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11821ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
G I Associates of West Alabama PC Gastroenterology CurrentSince Jan 1, 2003 Accepting new patients
G I Associates of West Alabama PC CurrentSince Jan 1, 2003 Accepting new patients
North River Surgical Center, LLC Past Accepting new patients

Locations

301 Rice Mine Rd NE
Tuscaloosa, AL 35406
Phone (205) 750-0022

1774 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 759-2920

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1699713008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 BRANDONWOOD RD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-345-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35406",
            "telephone_number": "205-759-2920",
            "fax_number": "205-759-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "SUBRAMANIAM",
        "middle_name": "BALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "11821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051512201",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51512201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.