Individual provider Active NPI

Peter Dsa, MD

  • Gastroenterology Physician
  • Sylacauga, AL
National Provider Identifier
1730188129
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD27526 Issued in AL
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

Updated by the provider on Nov 15, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030001198 FL Practitioner - Gastroenterology 8527964592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pramod Joseph MD LLCGroup PAC ID 5294048609, 3 clinicians

Practice addresses (Care Compare)

2215 Nebraska Ave
Suite 1 a
Fort Pierce, FL 34950-4865
Phone (772) 567-6181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD27526ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pramod Joseph MD LLC Gastroenterology CurrentSince Aug 1, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.