Active NPI
Peter Dsa, MD
- Gastroenterology Physician
- Sylacauga, AL
National Provider Identifier
1730188129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD27526
- Practice address
- 126 S Anniston Ave
Sylacauga, AL 35150-2904 - Phone
- (256) 249-6050
- Fax
- (256) 249-6053
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD27526 | AL | Primary |
Addresses
Primary practice location
126 S Anniston Ave
Sylacauga, AL 35150-2904
Mailing address
126 S Anniston Ave
Sylacauga, AL 35150-2904
Phone (256) 249-6050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Nebraska Ave
Suite 1 a
Fort Pierce, FL 34950-4865
Phone (772) 567-6181
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27526 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pramod Joseph MD LLC | Gastroenterology | Current | Accepting new patients |
| Pramod Joseph Hospital Practice LLC | Gastroenterology | Past | Accepting new patients |
| BHC-Gastroenterology | Gastroenterology | Past | Accepting new patients |
Locations
2215 Nebraska Ave
Ste 1-A
Fort Pierce, FL 34950
Phone (772) 464-8722
275 18th St
Ste 103
Vero Beach, FL 32960
Phone (772) 567-6181
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCJIAD
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.
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- Gastroenterology Physician
- Fort Pierce, FL
- NPI 1841924842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1730188129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S ANNISTON AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502904",
"telephone_number": "256-249-6050",
"fax_number": "256-249-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S ANNISTON AVE",
"city": "SYLACAUGA",
"state": "AL",
"postal_code": "351502904",
"telephone_number": "256-249-6050",
"fax_number": "256-249-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DSA",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "MD27526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylacauga, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.