Prasanna Kumar Allada, M.B.B.S., MPH, M.D.
Individual provider Active NPI Family Medicine Physician · Huntsville, AL
NPI 1902197825 · NPPES record last updated Nov 29, 2022
Key facts
- NPI
- 1902197825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 33509 (AL)
- Practice address
- 1010 Airport Rd SW
Huntsville, AL 35802-1477 - Phone
- (256) 701-1869
- NPI assigned
- Apr 26, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affinity Primary Care LLC
Practice addresses (Care Compare)
1010 Airport Rd SW
Suite C
Huntsville, AL 35802-1478
Phone (256) 824-9966
Hospital & facility affiliations
- Amedisys Home Health of Huntsville
- Centerwell Home Health
- Aveanna Home Health
- Huntsville Hospital Homecare
- Hospice of North Alabama, LLC
- Huntsville Hospital
- Crestwood Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140917002461 | AL | Practitioner - Family Practice | 3476772898 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33509 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Primary Care LLC | Family Medicine | Current |
Accepting new patients |
| HH Physician Care | Family Medicine | Current |
Accepting new patients |
| Healthcare Authority of the City of Huntsville | Current |
Accepting new patients | |
| Meridian Family Care | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
700 Airport Rd SW
Ste F
Huntsville, AL 35802
Phone (256) 265-0770
1010 Airport Rd SW
Ste C
Huntsville, AL 35802
Phone (256) 824-9966
1010 Airport Rd SW
Huntsville, AL 35802
Phone (256) 701-1869
262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 33509 | AL | Yes |
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
Other providers in Huntsville, AL
- William E. Alison II
- Fahad Abdulaziz Alkaabba
- Murad Alkharabsheh
- Sawsan M Alkurabi
- All-Star Medical, LLC
- Kaleswara Rao Allamneni
- Megan Nicole Allan
- Brandi C Alldredge
- Nichole Martina Allegood
- Marilyn Nicole Alleman
All providers in Huntsville, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.