PRADEEP G BHAMBHVANI M.D.
NPI 1831287374
Radiology - Diagnostic Radiology in Birmingham, AL

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233(205) 934-6600 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pradeep G Bhambhvani M.d. NPPES

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

PRADEEP G BHAMBHVANI M.D. (NPI 1831287374) is an individual diagnostic radiology provider in Birmingham, Alabama, licensed in Alabama (28377) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1831287374
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePRADEEP G BHAMBHVANICredential: M.D.
Location Address619 19TH STREET SOUTHBirmingham, AL 35233
Mailing AddressPo Box 55309Birmingham, AL 35255-5309 · (205) 731-9701 · Fax (205) 297-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 28, 2023
NPI 1831287374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AL · 28377
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License C51705 (CA)
Also ListedNuclear MedicineTaxonomy 207U00000X · License C51705 (CA)
619 19TH STREET SOUTH, Birmingham, AL 35233

Secondary Practice Location 1

Location 11802 6th Ave SBirmingham, AL 35233-1932 · Phone (205) 934-1388

Other Identifiers 9

Other051543575AL · Bcbs
Medicaid09457344MS
Other051543573AL · Bcbs
Medicaid009911797AL
Medicaid009911798AL
Other051543570AL · Bcbs
OtherG71504Viva
Medicaid009911796AL
OtherP00653192Railroad Medicare

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

Pradeep G Bhambhvani 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 ID6608878764
PECOS Enrollment IDI20071126000114
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 17

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.

Gallium ga-68, dotatate, diagnostic, 0.1 millicurie A9587
Gallium Ga-68 Dotatate is a diagnostic tool used in PET scans to help detect certain types of tumors. It involves injecting a small amount of radioactive material into the body. This helps doctors see how tissues and organs are functioning.
1,783 services33 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
299 services283 patients
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries A9552
Fluorodeoxyglucose F-18 FDG is a radioactive drug used in PET scans. It helps doctors see how your tissues and organs are functioning. The drug is given in a specific dose, up to 45 millicuries, depending on your body size and the type of scan.
256 services238 patients
Piflufolastat f-18, diagnostic, 1 millicurie A9595
Piflufolastat F-18 is a radioactive diagnostic agent used in PET scans. It helps visualize certain cells in your body, aiding doctors in diagnosing specific conditions. This service involves injecting 1 millicurie of the agent into your body.
91 services11 patients
Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie A9800
Gallium Ga-68 Gozetotide (Locametz) is a diagnostic procedure involving a radioactive substance used to create detailed images of the body. It helps in identifying specific types of tumors by highlighting them on the scan. It's a safe procedure with minimal side effects.
68 services14 patients
Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging 78830
A nuclear medicine study with SPECT and concurrent CT scan is a special imaging test. It uses a small amount of radioactive substance and advanced imaging techniques to create detailed pictures of your internal body structures. It aids in diagnosing and tracking the progress of treatment for various diseases.
55 services52 patients

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
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
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.

Psychiatry & Neurology (Psychiatry)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Social Worker (Clinical)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Neurological Surgery
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Psychiatry & Neurology (Neurology)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine (Geriatric Medicine)
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Internal Medicine
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Anesthesiology
619 19TH STREET SOUTH
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 Pradeep Bhambhvani's NPI number?

The NPI number for Pradeep Bhambhvani is 1831287374. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Pradeep Bhambhvani located?

Pradeep Bhambhvani practices at 619 19th Street South, Birmingham, AL 35233. The listed phone number is (205) 934-6600.

What is Pradeep Bhambhvani's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Pradeep Bhambhvani enrolled in Medicare?

Yes. Pradeep Bhambhvani 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 Pradeep Bhambhvani accept?

Health plans from Blue Cross and Blue Shield of Alabama list Pradeep Bhambhvani 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 Pradeep Bhambhvani was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.