NPIMap

Individual provider Active NPI

Prasanna Kumar Allada, M.B.B.S., MPH, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1902197825
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33509 Issued in AL
Practice address
1010 Airport Rd SW
Huntsville, AL 35802-1477
Phone
(256) 701-1869
NPI assigned
Apr 26, 2011
Last updated
Nov 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 33509 AL Primary

Addresses

Primary practice location

1010 Airport Rd SW
Huntsville, AL 35802-1477

Mailing address

2120 Springhouse Rd SE
Huntsville, AL 35802-1869
Phone (256) 701-1435

Other practice location 1

262 Sutton Rd SE
Owens Cross Roads, AL 35763-8753
Phone (256) 265-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140917002461 AL Practitioner - Family Practice 3476772898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Primary Care LLCGroup PAC ID 8628448446, 5 clinicians

Practice addresses (Care Compare)

1010 Airport Rd SW
Suite C
Huntsville, AL 35802-1478
Phone (256) 824-9966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33509ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Family Care Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
HH Physician Care Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Affinity Primary Care LLC Family Medicine CurrentSince Sep 29, 2022 Accepting new patients
Healthcare Authority of the City of Huntsville CurrentSince May 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

1010 Airport Rd SW
Huntsville, AL 35802
Phone (256) 701-1869

1010 Airport Rd SW
Ste C
Huntsville, AL 35802
Phone (256) 824-9966

700 Airport Rd SW
Ste F
Huntsville, AL 35802
Phone (256) 265-0770

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

Organizations & group practices 6

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 7

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1902197825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SPRINGHOUSE RD SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021869",
            "telephone_number": "256-701-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AIRPORT RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021477",
            "telephone_number": "256-701-1869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "262 Sutton Rd SE",
            "address_purpose": "LOCATION",
            "city": "Owens Cross Roads",
            "state": "AL",
            "postal_code": "357638753",
            "country_code": "US",
            "telephone_number": "256-265-0350",
            "fax_number": "256-265-0357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLADA",
        "first_name": "PRASANNA",
        "middle_name": "KUMAR",
        "credential": "M.B.B.S., MPH, M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "33509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.