Active NPI
Pradeep G Bhambhvani, M.D.
- Diagnostic Radiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 28377
- Practice address
- 619 19TH Street South
Birmingham, AL 35233 - Phone
- (205) 934-6600
- NPI assigned
- Oct 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C51705 | CA | |
| Nuclear Medicine Physician | 207U00000X | C51705 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 28377 | AL | Primary |
Addresses
Primary practice location
619 19TH Street South
Birmingham, AL 35233
Mailing address
PO Box 55309
Birmingham, AL 35255-5309
Phone (205) 731-9701
Other practice location 1
1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-1388
Other practice location 2
1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-1388
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051543575 | Other | AL | BCBS |
| 09457344 | Medicaid | MS | |
| 051543573 | Other | AL | BCBS |
| 009911797 | Medicaid | AL | |
| 009911798 | Medicaid | AL | |
| 051543570 | Other | AL | BCBS |
| G71504 | Other | VIVA | |
| 009911796 | Medicaid | AL | |
| P00653192 | Other | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pbhambhvani@direct.uabmedicine.org | Direct | University of Alabama Hospital |
| Direct Messaging Address | pbhambhvani@direct.uabmedicine.org | Direct | University of Alabama Hospital |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nuclear Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.67 of 100
- Quality
- 80.18
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent'S P.E.T. Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105
500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440
Interoperability endpoints
- pbhambhvani@direct.uabmedicine.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1457337073
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1831287374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55309",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555309",
"telephone_number": "205-731-9701",
"fax_number": "205-297-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH STREET SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-934-6600"
}
],
"practiceLocations": [
{
"address_1": "1802 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331932",
"country_code": "US",
"telephone_number": "205-934-1388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1802 6th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331932",
"country_code": "US",
"telephone_number": "205-934-1388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAMBHVANI",
"first_name": "PRADEEP",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C51705",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "C51705",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "28377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051543575",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09457344",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051543573",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911797",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911798",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051543570",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "G71504",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911796",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00653192",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbhambhvani@direct.uabmedicine.org",
"affiliation": "Y",
"affiliationName": "University of Alabama Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1802 6th Ave S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352331932",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pbhambhvani@direct.uabmedicine.org",
"affiliation": "Y",
"affiliationName": "University of Alabama Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1802 6th Ave S",
"city": "Birmingham",
"state": "AL",
"country_code": "US",
"postal_code": "352331932",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.