SAKETH PALASAMUDRAM SHEKAR M.D
NPI 1154795052
Internal Medicine - Pulmonary Disease in Huntsville, AL

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
725 MADISON ST SE, HUNTSVILLE, AL 35801(256) 265-5864(256) 265-5865 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Mar 2, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Saketh Palasamudram Shekar M.d NPPES

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

SAKETH PALASAMUDRAM SHEKAR M.D (NPI 1154795052) is an individual pulmonary disease provider in Huntsville, Alabama, licensed in Alabama (40970) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical Center, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1154795052
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSAKETH PALASAMUDRAM SHEKARCredential: M.D
Location Address725 MADISON ST SEHuntsville, AL 35801-4408
Mailing AddressPo Box 21007Huntsville, AL 35813-5007 · (256) 265-5864 · Fax (256) 265-5865
Fax(256) 265-5865
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 16, 2015
Last NPPES UpdateApril 7, 20255 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
NPI 1154795052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · 40970
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 40970 (AL)
725 MADISON ST SE, Huntsville, AL 35801

Secondary Practice Location 1

Location 11041 Balch Rd Ste 175Madison, AL 35758-8822 · Phone (256) 265-5864 · Fax (256) 265-5865

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

Saketh Palasamudram Shekar 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 ID4082031620
PECOS Enrollment IDI20200827003890
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 20

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
447 services95 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.
431 services271 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.
373 services127 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
192 services178 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
191 services176 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.
183 services148 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical Center

Acute Care Hospitals · Fayetteville, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440102
Location106 Medical Center BlvdFayetteville, TN 37334 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$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.

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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.27
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers40 claims42 services$16.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
6 suppliers75 claims77 services$5.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers93 claims96 services$88.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$33.46 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims780 services$4.49 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,550 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801
Dietitian, Registered
725 MADISON ST SE
HUNTSVILLE, AL 35801
Dietitian, Registered
725 MADISON ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Pulmonary Disease)
725 MADISON ST SE
HUNTSVILLE, AL 35801

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 Saketh Palasamudram Shekar's NPI number?

The NPI number for Saketh Palasamudram Shekar is 1154795052. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Saketh Palasamudram Shekar located?

Saketh Palasamudram Shekar practices at 725 Madison St SE, Huntsville, AL 35801. The listed phone number is (256) 265-5864.

What is Saketh Palasamudram Shekar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Saketh Palasamudram Shekar enrolled in Medicare?

Yes. Saketh Palasamudram Shekar 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 Saketh Palasamudram Shekar 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 3 other insurers list Saketh Palasamudram Shekar 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.

Is Saketh Palasamudram Shekar affiliated with any hospitals?

According to CMS data, Saketh Palasamudram Shekar is affiliated with Lincoln Medical Center.

When was this NPI record last updated?

The NPPES record for Saketh Palasamudram Shekar was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.