DR. ANKUR JINDAL M.D
NPI 1003014705
Internal Medicine - Endocrinology, Diabetes & Metabolism in Huntsville, AL


Quality Rating: 83.81 out of 100 score

NPI Status: Active since July 05, 2007

Contact Information

201 SIVLEY RD SW
SUITE 440
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 265-0780
Fax: (256) 265-0781

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  • Individual
  • Male
  • Years of Experience 19
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANKUR JINDAL

Ankur Jindal is an internist established in Huntsville, Alabama and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1003014705 assigned on July 2007. The practitioner's primary taxonomy code is 207RE0101X with license number 30427 (AL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1003014705
Provider Name
DR. ANKUR JINDAL M.D
Gender
Male
Entity Type
Individual
Location Address
201 SIVLEY RD SW SUITE 440 HUNTSVILLE, AL 35801
Location Phone
(256) 265-0780
Location Fax
(256) 265-0781
Mailing Address
PO BOX 2705 HUNTSVILLE, AL 35804
Mailing Phone
(256) 265-0780
Mailing Fax
(256) 265-0781
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
07-05-2007
Last Update Date
04-03-2017
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An internist like Ankur Jindal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Ankur Jindal is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 83.81, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $24.83 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
30427
License State
AL
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

30427 (AL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Essential (Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
190391MEDICAID (05)AL 
102I112359OTHER (01)ALMEDICARE

PECOS Enrollment and Medicare Participation Status

Ankur Jindal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 42404543

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20101028000994

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Supplies for maintenance of insulin infusion catheter, per week (HCPCS:A4224)

    8 DME suppliers used 24 Medicare Claims 347 Services Paid

  • Other DME (D1E)

    Supplies for external insulin infusion pump, syringe type cartridge, sterile, each (HCPCS:A4225)

    8 DME suppliers used 26 Medicare Claims 930 Services Paid

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    48 DME suppliers used 143 Medicare Claims 580 Services Paid

  • Other DME (D1E)

    Normal, low and high calibrator solution / chips (HCPCS:A4256)

    3 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    30 DME suppliers used 67 Medicare Claims 135 Services Paid

  • Other DME (D1E)

    External ambulatory infusion pump, insulin (HCPCS:E0784)

    3 DME suppliers used 28 Medicare Claims 28 Services Paid

  • Drugs Administered through DME (D1G)

    Insulin for administration through dme (i.e., insulin pump) per 50 units (HCPCS:J1817)

    6 DME suppliers used 14 Medicare Claims 1970 Services Paid

  • Other DME (D1E)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    23 DME suppliers used 412 Medicare Claims 416 Services Paid

  • Other DME (D1E)

    Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system (HCPCS:K0554)

    10 DME suppliers used 14 Medicare Claims 14 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 35801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.05
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $32.26
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.33
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $24.83
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 83.81 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 78.41

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 85

    Hemoglobin a1c level (HCPCS:83036)

  • 73

    Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours (HCPCS:95251)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ankur Jindal is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MARSHALL MEDICAL CENTERS2505 U S HIGHWAY 431 NORTH
BOAZ, AL 35957
(256) 593-8310Acute Care Hospitals
HUNTSVILLE HOSPITAL101 SIVLEY RD
HUNTSVILLE, AL 35801
(256) 265-1000Acute Care Hospitals
ATHENS LIMESTONE HOSPITAL700 WEST MARKET STREET
ATHENS, AL 35611
(256) 233-9292Acute Care Hospitals
DECATUR MORGAN HOSPITAL - DECATUR CAMPUS1201 7TH STREET SE
DECATUR, AL 35601
(256) 341-2000Acute Care Hospitals
CRESTWOOD MEDICAL CENTERONE HOSPITAL DR SE
HUNTSVILLE, AL 35801
(256) 882-3100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003014705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 7 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003014705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235122177DR. EVAN SCOTT COHEN M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1639162571DR. THOMAS BENTON WASHBURN JR. M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1336132281HUNTSVILLE CARDIOTHORACIC SURGEONS, PC
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1225015514DR. SHARON FOSTER GARDEPE MD
Individual
Dermatology201 SIVLEY RD SW STE 510
HUNTSVILLE, AL 35801
(256) 536-0992
1891773396HUNTSVILLE CARDIAC ANESTHESIA
Organization
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1649258260DR. ERIC MURRAY M.D.
Individual
Anesthesiology201 SIVLEY RD SW SUITE 300
HUNTSVILLE, AL 35801
(256) 533-1077
1437117603DR. MARCO CIOPPI MD
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW STE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1790734051DR. RICK MICHIEL ROBERTS M.D.
Individual
Surgery (Vascular Surgery)201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1104876770DR. JAMES ROBERT LANCASTER M.D.
Individual
Surgery201 SIVLEY RD SW SUITE 320
HUNTSVILLE, AL 35801
(256) 536-7840
1184675118DR. STEVEN COWART M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)201 SIVLEY RD SW SUITE 450
HUNTSVILLE, AL 35801
(256) 551-4505
1902832447VASCULAR SURGERY ASSOCIATES
Organization
Preferred Provider Organization201 SIVLEY RD SW SUITE 305
HUNTSVILLE, AL 35801
(256) 536-9000
1942228283 JESUS HERNANDEZ M.D.
Individual
Internal Medicine (Rheumatology)201 SIVLEY RD SW SUITE 600
HUNTSVILLE, AL 35801
(256) 551-6510
1932291747ENDOCRINOLOGY AND DIABETES ASSOCIATES, LLC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)201 SIVLEY RD SW SUITE 450
HUNTSVILLE, AL 35801
(256) 551-4505
1366561078 LUANN HOLLOWAY NP
Individual
Nurse Practitioner201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1891907515DR. YI JIA M.D.
Individual
Internal Medicine201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3883
1700083482 VARUN RAMESH PUDUCHERI MD
Individual
Internal Medicine201 SIVLEY RD SW SUITE GROUND 2 BLACKWELL MEDICAL TOWER
HUNTSVILLE, AL 35801
(256) 265-6500
1730360629DR. SUDHEER R KANTHARAJPUR M.D., M.H.A
Individual
Hospitalist201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3880
1497085013MRS. DIANE LOUISE BAREFIELD CRNP
Individual
Nurse Practitioner (Family)201 SIVLEY RD SW SUITE 30
HUNTSVILLE, AL 35801
(256) 265-6854
1801117262ALABAMA CENTER FOR INFECTIOUS DISEASE
Organization
Internal Medicine (Infectious Disease)201 SIVLEY RD SW SUITE 540
HUNTSVILLE, AL 35801
(256) 265-1902
1912265810MRS. GWENDOLYN MICHELLE POLEON CRNP
Individual
Clinical Nurse Specialist (Acute Care)201 SIVLEY RD SW SUITE 500
HUNTSVILLE, AL 35801
(256) 265-3880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014705, enumerated in the NPI registry as an "individual" on July 05, 2007

The provider is located at 201 Sivley Rd Sw Suite 440 Huntsville, Al 35801 and the phone number is (256) 265-0780

The provider's speciality is Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

The provider has more than 19 years of experience.

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter from Peach. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $129.05 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Hemoglobin a1c level and Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours.

The practitioner is affiliated to the following hospital(s): MARSHALL MEDICAL CENTERS, HUNTSVILLE HOSPITAL, ATHENS LIMESTONE HOSPITAL, DECATUR MORGAN HOSPITAL - DECATUR CAMPUS and CRESTWOOD MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.