Individual provider Active NPI

Pooja Ummalaneni, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1770025520
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38771 Issued in AL
Practice address
470 Taylor Rd Ste 310
Montgomery, AL 36117-7130
Phone
(334) 747-4322
Fax
(334) 747-4321
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38771 AL Primary

Addresses

Primary practice location

470 Taylor Rd Ste 310
Montgomery, AL 36117-7130

Mailing address

301 Brown Springs Rd
Montgomery, AL 36117-7005
Phone (334) 747-4159

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
I20200116000946 AL Practitioner - Family Practice 5395170591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

470 Taylor Rd
Suite 310
Montgomery, AL 36117-7130
Phone (334) 747-4322

Hospital & facility affiliations

  • Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score
83 of 100Reported as group
Quality
64.43
Promoting interoperability
100
Improvement activities
40
Cost
78.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38771ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Jan 1, 2020 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
The Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Past Accepting new patients

Locations

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

4250 Carmichael Ct N
Montgomery, AL 36106
Phone (334) 593-9091

470 Taylor Rd
Ste 310
Montgomery, AL 36117
Phone (334) 244-4322

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

4371 Narrow Lane Rd
Ste 100
Montgomery, AL 36116
Phone (334) 613-3680

Organizations & group practices 4

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 3

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1770025520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BROWN SPRINGS RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177005",
            "telephone_number": "334-747-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 TAYLOR RD STE 310",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177130",
            "telephone_number": "334-747-4322",
            "fax_number": "334-747-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMMALANENI",
        "first_name": "POOJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "38771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.