Kalyan Prudhvi, MD

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

42291 Issued in AL

Practice address

3690 Grandview Pkwy
Birmingham, AL 35243-3326

Phone

(205) 971-1000

NPI assigned

Jun 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL, OH, WV4 enrollments

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 4

Specialty

Nephrology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Development Co.Group PAC ID 4183527476, 65 clinicians

Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Cogent Healthcare of Decatur, LLCGroup PAC ID 0446141972, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
• Roane General Hospital Hospital, Spencer, WV, CCN 511306
• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092
• Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesiologists Associated PC

  dba SAM Intensivist

  • Critical Care Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1285140921

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Cogent Healthcare of Decatur, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Tuscaloosa, AL
  • NPI 1386695500

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hospital Development Co

  dba Roane General Hospital

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Medicare reassignment Care Compare group NPD
• Southern Kidney Care PC

  • Nephrology Physician
  • Birmingham, AL
  • NPI 1265020937

  Multi-Specialty

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  AL

  Medicare reassignment
• Anesthesiologists Associated PC

  dba SAM Critical Response Service

  • Critical Care Medicine (Internal Medicine) Physician
  • Birmingham, AL
  • NPI 1396353280

  Multi-Specialty

  NPD
• Reset Kidney LLC

  • Nephrology Physician
  • Montgomery, AL
  • NPI 1043941297

  Multi-Specialty

  NPD
• Hospital Development Co

  • Rural Health Clinic/Center
  • Arnoldsburg, WV
  • NPI 1053059881
  NPD
• Epsilon Kidney Care, PC

  • Clinic/Center
  • Montgomery, AL
  • NPI 1548975873

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH BMC, LLC

  dba Baptist Health Brookwood Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• BBH PBMC, LLC

  dba Baptist Health Princeton Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation
• BBH SBMC, LLC

  dba Baptist Health Shelby Hospital

  • General Acute Care Hospital
  • Alabaster, AL
  • NPI 1811341167
  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation
• Hospital Development Co

  dba Roane General Hospital

  • Critical Access Hospital
  • Spencer, WV
  • NPI 1316907322
  Care Compare affiliation

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1710274626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 BLUE LAKE DR STE 110",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432372",
            "telephone_number": "205-977-1949",
            "fax_number": "205-977-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDHVI",
        "first_name": "KALYAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "42291",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "42291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Ross Provenzano, DDS
• Providence Family Psychiatry, P.C.
• Shaneka Lynette Prowell
• Proxycare of Alabama Inc (Proxycare Alabama Inc)
• Sandra Katharina Prucka, MS
• Angie Smith Pruett, MS CCC-SLP
• Brandon Scott Pruett, M.D., PH.D.
• Brittany Rebecca Hinten Pruett, MD
• Danica Pruett
• Bryan Pruitt, MD

• Critical Care Medicine (Internal Medicine) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Critical Care Medicine (Internal Medicine) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.