| Kalyan Prudhvi, MD | |
|
3690 Grandview Pkwy, Birmingham, AL 35243-3326 | |
| (205) 971-1000 | |
| Not Available |
| Full Name | Kalyan Prudhvi |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 17 Years |
| Location | 3690 Grandview Pkwy, Birmingham, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710274626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42291 (Alabama) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 42291 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Princeton Baptist Medical Center | Birmingham, AL | Hospital |
| Brookwood Baptist Medical Center | Birmingham, AL | Hospital |
| D C H Regional Medical Center | Tuscaloosa, AL | Hospital |
| Shelby Baptist Medical Center | Alabaster, AL | Hospital |
| Grandview Medical Center | Birmingham, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Decatur, Llc | 0446141972 | 18 |
| Anesthesiologists Associated Pc | 6204739519 | 346 |
| Hospital Development Co. | 4183527476 | 49 |
| Entity Name | Cogent Healthcare Of Decatur, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386695500 PECOS PAC ID: 0446141972 Enrollment ID: O20040323001222 |
| Entity Name | Anesthesiologists Associated Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285140921 PECOS PAC ID: 6204739519 Enrollment ID: O20180502000003 |
| Entity Name | Southern Kidney Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265020937 PECOS PAC ID: 1850705427 Enrollment ID: O20210122002294 |
| Entity Name | Reset Kidney Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043941297 PECOS PAC ID: 8921464702 Enrollment ID: O20230522000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalyan Prudhvi, MD 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 Ph: (205) 977-1949 | Kalyan Prudhvi, MD 3690 Grandview Pkwy, Birmingham, AL 35243-3326 Ph: (205) 971-1000 |
Juan Mario Bernal, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Grandview Pkwy Ste 200, Birmingham, AL 35243 Phone: 205-971-7500 Fax: 205-971-7571 | |
Dr. William Randolph Maddox, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-783-3000 Fax: 205-297-9411 | |
Jodie Ann Dionne, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 19th St S Bldg 206, Birmingham, AL 35233 Phone: 205-975-6530 | |
Dr. Karl Tullio Schroeder, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 Princeton Ave Sw Ste 199, Birmingham, AL 35211 Phone: 205-780-1920 Fax: 205-780-2345 | |
Amitkumar Mehta, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 2nd Ave S # Np2540t, Birmingham, AL 35294 Phone: 205-996-8400 Fax: 205-934-1608 | |
Shana Monika Machado, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-934-4011 | |
Dr. Albert F. Lobuglio, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Np 2556, Birmingham, AL 35233 Phone: 205-934-5077 Fax: 205-975-7428 |