PRATEEK AVINASH POPHALI MD
NPI 1396205639
Internal Medicine - Hematology & Oncology in Birmingham, AL
About Prateek Avinash Pophali Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRATEEK AVINASH POPHALI MD (NPI 1396205639) is an individual hematology & oncology provider in Birmingham, Alabama, licensed in Alabama (MD.54176) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Prateek Avinash Pophali Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Prateek Pophali reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 182 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
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 Prateek Pophali's NPI number?
The NPI number for Prateek Pophali is 1396205639. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Prateek Pophali located?
Prateek Pophali practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.
What is Prateek Pophali's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Prateek Pophali enrolled in Medicare?
Yes. Prateek Pophali 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 Prateek Pophali's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prateek Pophali reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Rhode Island Hospital (Providence, RI). 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 Prateek Pophali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prateek Pophali accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Prateek Pophali 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 Prateek Pophali affiliated with any hospitals?
According to CMS data, Prateek Pophali is affiliated with Rhode Island Hospital and The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Prateek Pophali was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.
# Prateek Avinash Pophali, MD · NPI 1396205639
Hematology & Oncology physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1396205639 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** MD.54176 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 6TH AVE S, Birmingham, AL 35233-2110
- **Phone:** (205) 934-9999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Alabama Health Services Foundation, PC (NPI 1124213376, Birmingham, AL); Rhode Island Hospital (NPI 1396849782, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396205639) · Data from the CMS NPPES public registry.