Individual provider Active NPI

Prasad S Vankineni, MD

  • Gastroenterology Physician
  • Huntsville, AL
National Provider Identifier
1700958873
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10838 Issued in AL
Practice address
420 Lowell Dr.
Suite 204
Huntsville, AL 35801-3763
Phone
(256) 536-9031
Fax
(256) 539-4240
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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 10838 AL Primary

Addresses

Primary practice location

420 Lowell Dr.
Suite 204
Huntsville, AL 35801-3763

Mailing address

420 Lowell Drive
Suite 204
Huntsville, AL 35801-3763
Phone (256) 536-9031

Other identifiers 1

IdentifierTypeStateIssuer
000011586MedicaidAL

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
I20101005000931 AL Practitioner - Gastroenterology 7911938774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Digestive Disease CenterGroup PAC ID 8527381524, 20 clinicians

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 204
Huntsville, AL 35801-3763
Phone (256) 536-9031

8371 Hwy 72 W
Suite 101
Madison, AL 35758-9505
Phone (256) 817-5835

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy223
Upper gastrointestinal (GI) endoscopy for acid reflux175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10838ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Digestive Disease Center Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients

Locations

420 Lowell Dr SE
Ste 204
Huntsville, AL 35801
Phone (256) 536-9031

8371 Highway 72 W
Ste 101
Madison, AL 35758
Phone (256) 536-9031

Networks

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

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1700958873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DRIVE",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "256-539-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR.",
            "address_2": "SUITE 204",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013763",
            "telephone_number": "256-536-9031",
            "fax_number": "256-539-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKINENI",
        "first_name": "PRASAD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "10838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011586",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.