Individual provider Active NPI

Venkata Babu Kantamneni, MD

  • Gastroenterology Physician
  • Decatur, AL
National Provider Identifier
1851377527
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00014244 Issued in AL
Practice address
2828 Highway 31 South
Suite 117
Decatur, AL 35602
Phone
(256) 351-2116
Fax
(256) 351-2128
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 00014244 AL Primary

Addresses

Primary practice location

2828 Highway 31 South
Suite 117
Decatur, AL 35602

Mailing address

2828 Highway 31 South Suite 117
PO Box 3017
Decatur, AL 35602
Phone (256) 351-2116

Other identifiers 1

IdentifierTypeStateIssuer
000045596MedicaidAL

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
I20110203000446 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 6800860206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Digestive Diseases PCGroup PAC ID 4385618784, 5 clinicians

Practice addresses (Care Compare)

2828 Hwy 31 S
Suite 104
Decatur, AL 35603-1538
Phone (256) 686-1371

2828 Hwy 31 S 117
Decatur, AL 35603-1538
Phone (256) 351-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy575
Upper gastrointestinal (GI) endoscopy for acid reflux260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00014244ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Digestive Diseases PC Gastroenterology CurrentSince Sep 1, 1998 Accepting new patients
Riverside Gastroenterology PC Gastroenterology CurrentSince Jul 23, 2021 Accepting new patients
Decatur Surgery Center LP Past Accepting new patients
Decatur Ambulatory Surgery Center PastSince Jan 1, 2008 Accepting new patients

Locations

2828 Highway 31 S
Ste 117
Decatur, AL 35603
Phone (256) 351-2116

2828 Highway 31 S
Ste 104
Decatur, AL 35603
Phone (256) 301-0110

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1851377527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 SOUTH SUITE 117",
            "address_2": "PO BOX 3017",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35602",
            "telephone_number": "256-351-2116",
            "fax_number": "256-351-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 SOUTH",
            "address_2": "SUITE 117",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35602",
            "telephone_number": "256-351-2116",
            "fax_number": "256-351-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAMNENI",
        "first_name": "VENKATA",
        "middle_name": "BABU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00014244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045596",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.