MADHAVA SARMA PATIBANDA M.D.
NPI 1295091916
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Madhava Patibanda's NPI number?

The NPI number for Madhava Patibanda is 1295091916. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Madhava Patibanda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Madhava Patibanda was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 06, 2012PECOS Enrolled

619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-3130 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Madhava Sarma Patibanda M.d. NPPES

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

MADHAVA SARMA PATIBANDA M.D. (NPI 1295091916) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295091916

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMADHAVA SARMA PATIBANDACredential: M.D.

Location Address619 19TH ST SBirmingham, AL 35249-1900

Mailing Address619 19th St SBirmingham, AL 35249-1900 · (205) 934-3130

Phone(205) 934-3130

Sole ProprietorNo

Enumeration DateApril 6, 2012

Last NPPES UpdateApril 9, 2012

✔ NPI 1295091916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

619 19TH ST S, Birmingham, AL 35249

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madhava Sarma Patibanda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. GARRETT COLBY M.D.

Radiology (Diagnostic Radiology)

619 19TH ST S, JT N342
BIRMINGHAM, AL 35249

Jefferson County (205) 934-3108

SHANA MONIKA MACHADO D.O.

Internal Medicine (Nephrology)