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SAIKRISHNA GADDE M.D.
NPI 1497134118
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since May 27, 2015PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
840 MONTCLAIR RD, SUITE 317, BIRMINGHAM, AL 35213(205) 599-4822 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Saikrishna Gadde M.d. NPPES

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

SAIKRISHNA GADDE M.D. (NPI 1497134118) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2015).

NPPES Registry Identity

NPI1497134118
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAIKRISHNA GADDECredential: M.D.
Location Address840 MONTCLAIR RD, SUITE 317Birmingham, AL 35213-1920
Mailing Address840 Montclair Rd, Suite 317Birmingham, AL 35213-1920
Phone(205) 599-4822
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2015
Enumeration DateMay 27, 2015
✔ NPI 1497134118 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.
840 MONTCLAIR RD, Birmingham, AL 35213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and more.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

Saikrishna Gadde 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 ID5092070300
PECOS Enrollment IDI20210914002370
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

2

Medicare enrollment records show Saikrishna Gadde reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Mountain Group Services, LLC
6.0 mi
Hospitalist
3690 GRANDVIEW PKWY
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 215 clinicians in this Medicare group
NPI 1366840761 (205) 971-1000
University Health System, Inc
204 mi
Family Medicine
2480 HWY 72 N
Loudon, TN 37774
  • Reassigned Medicare billing, Tennessee enrollment
  • 832 clinicians in this Medicare group
NPI 1700109402 (865) 458-1183

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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
372 services101 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.
57 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
47 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services29 patients
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.
28 services19 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

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.

BHC - MONTCLAIR INFECTIOUS DISEASES
Specialist
840 MONTCLAIR RD, SUITE 606
BIRMINGHAM, AL 35213
Jefferson County (205) 592-5917
HIGHTOWER FAMILY MEDICINE, PC
Family Medicine
840 MONTCLAIR RD, SUITE 707
BIRMINGHAM, AL 35213
Jefferson County (205) 599-2345
HEATHER LOUISE PRECISE CRNP
Nurse Practitioner (Pediatrics)
840 MONTCLAIR RD, SUITE 617
BIRMINGHAM, AL 35213
Jefferson County (205) 591-2393
ROSEBELLA ADHIAMBO AGOLA M.D.
Surgery
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Jefferson County (205) 592-5135
JOEL MATTHEW RABORN M.D.
Radiology (Diagnostic Radiology)
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Jefferson County (205) 599-4822
JONATHAN STRONG M.D.
Radiology (Diagnostic Radiology)
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Jefferson County (205) 599-4822
HENGAMEH SALEMI ASCARZADEH M.D.
Internal Medicine
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Jefferson County (205) 592-5135
DANIEL STEPHEN ATHERTON M.D.
Student in an Organized Health Care Education/Training Program
840 MONTCLAIR RD, SUITE 317
BIRMINGHAM, AL 35213
Jefferson County (205) 592-5135

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 Saikrishna Gadde's NPI number?

The NPI number for Saikrishna Gadde is 1497134118. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Saikrishna Gadde located?

Saikrishna Gadde practices at 840 Montclair Rd Suite 317, Birmingham, AL 35213. The listed phone number is (205) 599-4822.

What is Saikrishna Gadde's specialty?

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

Is Saikrishna Gadde enrolled in Medicare?

Yes. Saikrishna Gadde 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 Saikrishna Gadde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Saikrishna Gadde reassigns Medicare benefits to 2 organizations: Oak Mountain Group Services, LLC (Birmingham, AL) and University Health System, Inc (Loudon, TN). 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 Saikrishna Gadde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Saikrishna Gadde accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Saikrishna Gadde 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 Saikrishna Gadde affiliated with any hospitals?

According to CMS data, Saikrishna Gadde is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Saikrishna Gadde was last updated on May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.