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MR. MIHIR M PRADHAN M.D.
NPI 1043401821
Family Medicine in Montgomery, AL

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
2105 E SOUTH BLVD, BAPTIST MEDICAL CENTER SOUTH, MONTGOMERY, AL 36116(334) 286-2987(334) 286-3368 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Mihir M Pradhan M.d. NPPES

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

MR. MIHIR M PRADHAN M.D. (NPI 1043401821) is an individual family medicine provider in Montgomery, Alabama, licensed in Alabama (MD.28297) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043401821
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MIHIR M PRADHANCredential: M.D.
Location Address2105 E SOUTH BLVD, BAPTIST MEDICAL CENTER SOUTHMontgomery, AL 36116-2409
Mailing Address440 Taylor Road, Suite 3380Montgomery, AL 36117-3587 · (334) 213-6287 · Fax (334) 213-6288
Phone(334) 286-2987
Fax(334) 286-3368
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 6, 2007
Last NPPES UpdateAugust 28, 2013
✔ NPI 1043401821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AL · MD.28297✔ Licensed in AL · MD28297
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2105 E SOUTH BLVD, Montgomery, AL 36116
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Other Identifiers 3

Other515-98983AL · Blue Cross/blue Shield
Medicare UPIN102I88447AL
Medicaid630902090AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Mihir M Pradhan 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 ID9739259797
PECOS Enrollment IDI20080603000066
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mihir Pradhan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jackson Hospital And Clinic, Inc
2.7 mi
Family Medicine
2024 CHESTNUT ST
Montgomery, AL 36106
  • Reassigned Medicare billing, Alabama enrollment
  • 248 clinicians in this Medicare group
NPI 1326750084 (334) 293-8000
Emergency Services Of Montgomery PC
14 mi
Emergency Medicine
124 S MEMORIAL DR
Prattville, AL 36067
  • Reassigned Medicare billing, Alabama enrollment
  • 223 clinicians in this Medicare group
NPI 1528310323 (334) 365-0651
Paragon Contracting Services LLC
87 mi
Emergency Medicine
810 SAINT VINCENTS DR
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 646 clinicians in this Medicare group
NPI 1225071459 (205) 939-7100
Hospital Physician Services - Southeast Professional Corporation
178 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Alabama enrollment
  • 428 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
244 services235 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
197 services190 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services21 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CRISTA WANDA MARQUARDT C.R.N.A.
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100
PREMIER ANESTHESIA OF MONTGOMERY
General Acute Care Hospital
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 322-9983
THOMAS H. BOOTH II C.R.N.A.
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 386-3579
SUSAN HAMILTON MITCHELL CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100
BREANNA ROSE GREIVING CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 747-2100
HOLLIE NICOLE SANDERS CRNA
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD, BAPTIST HOSPITAL DEPT OF ANES
MONTGOMERY, AL 36116
Montgomery County (770) 643-5619
DR. MOHAMMED ALOMARI MD
Hospitalist
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100
MR. JONATHAN R RIDENOUR PA-C
Physician Assistant
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Montgomery County (334) 288-2100

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 Mihir Pradhan's NPI number?

The NPI number for Mihir Pradhan is 1043401821. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Mihir Pradhan located?

Mihir Pradhan practices at 2105 E South Blvd Baptist Medical Center South, Montgomery, AL 36116. The listed phone number is (334) 286-2987.

What is Mihir Pradhan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mihir Pradhan enrolled in Medicare?

Yes. Mihir Pradhan 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.

Which organizations bill Medicare for Mihir Pradhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mihir Pradhan reassigns Medicare benefits to 4 organizations: Jackson Hospital And Clinic, Inc (Montgomery, AL), Emergency Services Of Montgomery PC (Prattville, AL), Paragon Contracting Services LLC (Birmingham, AL) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mihir Pradhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mihir Pradhan accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mihir Pradhan 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 Mihir Pradhan was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.