1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Pediatrics
  6. NPI Profile

SUGANTHA KRISHNAN MD
NPI 1750796967
Pediatrics in Birmingham, AL

Active since June 25, 2014PECOS Enrolled
1601 4TH AVE S, BIRMINGHAM, AL 35233(205) 638-9096(205) 638-2181 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2021, Aug 10, 2020, May 28, 2020 (3 updates tracked since 2020).

About Sugantha Krishnan Md NPPES

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

SUGANTHA KRISHNAN MD (NPI 1750796967) is an individual pediatrics provider in Birmingham, Alabama, licensed in Alabama (36238) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1750796967
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUGANTHA KRISHNANCredential: MD
Location Address1601 4TH AVE SBirmingham, AL 35233-1723
Mailing Address1601 4th Ave SBirmingham, AL 35233-1723 · (205) 638-9096 · Fax (205) 638-2181
Phone(205) 638-9096
Fax(205) 638-2181
Sole ProprietorNo
Enumeration DateJune 25, 2014
Last NPPES UpdateFebruary 5, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1750796967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 36238
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1601 4TH AVE S, Birmingham, AL 35233
Open in Google Maps ↗

Secondary Practice Location 1

Location 11601 4th Ave SBirmingham, AL 35233-1723 · Phone (205) 638-9096 · Fax (205) 638-2181

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sugantha Krishnan Md 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.

Physician 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.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
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 13

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

HUGH JAMES CHEEK M.D.
Pediatrics
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9096
JANE CONDREY
Nurse Practitioner (Pediatrics)
1601 4TH AVE S, SUITE M220
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9072
ANGELA MAE COPE D.O.
Pediatrics
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9096
DR. CHANNING GARBER BROWN MD
Internal Medicine
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9096
CHARLOTTE WHITE CRNP
Nurse Practitioner (Pediatrics)
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9107
ANNA LANGFORD SEIDENBURG MD
Pediatrics
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9096
CAROLINE HICKS DENSMORE MD
Pediatrics
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9585
CALLIE GREY
Pediatrics
1601 4TH AVE S
BIRMINGHAM, AL 35233
Jefferson County (205) 638-9096

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 Sugantha Krishnan's NPI number?

The NPI number for Sugantha Krishnan is 1750796967. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Sugantha Krishnan located?

Sugantha Krishnan practices at 1601 4th Ave S, Birmingham, AL 35233. The listed phone number is (205) 638-9096.

What is Sugantha Krishnan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sugantha Krishnan enrolled in Medicare?

Yes. Sugantha Krishnan is registered in the Medicare PECOS enrollment system.

What insurance does Sugantha Krishnan accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Sugantha Krishnan 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.

When was this NPI record last updated?

The NPPES record for Sugantha Krishnan was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.