KALYAN PRUDHVI MD
NPI 1710274626
Internal Medicine - Critical Care Medicine in Birmingham, AL

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
3690 GRANDVIEW PKWY, BIRMINGHAM, AL 35243(205) 971-1000 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kalyan Prudhvi Md NPPES

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

KALYAN PRUDHVI MD (NPI 1710274626) is an individual critical care medicine provider in Birmingham, Alabama, licensed in Alabama (42291) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Roane General Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710274626
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameKALYAN PRUDHVICredential: MD
Location Address3690 GRANDVIEW PKWYBirmingham, AL 35243-3326
Mailing Address3104 Blue Lake Dr Ste 110Vestavia, AL 35243-2372 · (205) 977-1949 · Fax (205) 977-1933
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 30, 2011
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1710274626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in AL · 42291
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 42291 (AL)
3690 GRANDVIEW PKWY, Birmingham, AL 35243

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

Kalyan Prudhvi 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.

PECOS PAC ID2365668803
PECOS Enrollment IDI20210519001935, I20231113003400
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 7

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.
217 services125 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.
149 services91 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.
56 services41 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.
53 services32 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.
30 services30 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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.

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.

Student in an Organized Health Care Education/Training Program
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
General Acute Care Hospital
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Nurse Practitioner (Neonatal, Critical Care)
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Registered Nurse (Emergency)
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Registered Nurse
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Nurse Practitioner (Acute Care)
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Psychiatric Unit
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243
Internal Medicine
3690 GRANDVIEW PKWY
BIRMINGHAM, AL 35243

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 Kalyan Prudhvi's NPI number?

The NPI number for Kalyan Prudhvi is 1710274626. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Kalyan Prudhvi located?

Kalyan Prudhvi practices at 3690 Grandview Pkwy, Birmingham, AL 35243. The listed phone number is (205) 971-1000.

What is Kalyan Prudhvi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kalyan Prudhvi enrolled in Medicare?

Yes. Kalyan Prudhvi 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 Kalyan Prudhvi accept?

Health plans from Blue Cross and Blue Shield of Alabama and CareSource list Kalyan Prudhvi 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 Kalyan Prudhvi affiliated with any hospitals?

According to CMS data, Kalyan Prudhvi is affiliated with Roane General Hospital.

When was this NPI record last updated?

The NPPES record for Kalyan Prudhvi was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.