DR. SHYAM PADMANABHAN M.D.
NPI 1013224609
Internal Medicine - Cardiovascular Disease in Montgomery, AL

Active since September 03, 2010PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
2055 E SOUTH BLVD STE 403, MONTGOMERY, AL 36116(334) 613-0807 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Sep 12, 2017 (2 updates tracked since 2017).

About Dr. Shyam Padmanabhan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHYAM PADMANABHAN M.D. (NPI 1013224609) is an individual cardiovascular disease provider in Montgomery, Alabama, licensed in Alabama (MD31925) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013224609
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SHYAM PADMANABHANCredential: M.D.
Location Address2055 E SOUTH BLVD STE 403Montgomery, AL 36116-2004
Mailing Address2055 E South Blvd Ste 403Montgomery, AL 36116-2004 · (334) 613-0807 · Fax (334) 386-4175
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 3, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1013224609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AL · MD31925
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125054079 (IL)
2055 E SOUTH BLVD STE 403, Montgomery, AL 36116

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shyam Padmanabhan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658651229
PECOS Enrollment IDI20171121001058
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
399 services227 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
267 services157 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services97 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services97 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
81 services80 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
79 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality66.09
Promoting Interoperability95
Improvement Activities40
Cost69.21

Reported Quality Measures

Advance Care Plan
69%1,059 patients3/55-star benchmark: 100%
Breast Cancer Screening
18%313 patients1/55-star benchmark: 93%
Cervical Cancer Screening
14%225 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
32%41 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
37%779 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
62%777 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
80%56 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
4%178 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
40%178 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
75%2,681 patients3/55-star benchmark: 100%
e-Prescribing
95%435 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%646 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,179 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
10%1,037 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%951 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 999 patients
Patients screened: 94% · 999 patients
27%116 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
64%531 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%681 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 658 patients
Patients totalRate: 8% · 674 patients
8%674 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
2055 E SOUTH BLVD STE 403
MONTGOMERY, AL 36116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shyam Padmanabhan's NPI number?

The NPI number for Shyam Padmanabhan is 1013224609. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Where is Shyam Padmanabhan located?

Shyam Padmanabhan practices at 2055 E South Blvd Ste 403, Montgomery, AL 36116. The listed phone number is (334) 613-0807.

What is Shyam Padmanabhan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shyam Padmanabhan enrolled in Medicare?

Yes. Shyam Padmanabhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shyam Padmanabhan accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Shyam Padmanabhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shyam Padmanabhan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.