NIKHILA REDDY EDAVALLY MD
NPI 1962021048
Hospitalist in Birmingham, AL

Q: What is Nikhila Edavally's NPI number?

The NPI number for Nikhila Edavally is 1962021048. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Q: What is Nikhila Edavally's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikhila Edavally was last updated on May 6, 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.

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-9666 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2023, Mar 15, 2023, Apr 9, 2020 (3 updates tracked since 2020).

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About Nikhila Reddy Edavally Md NPPES

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

NIKHILA REDDY EDAVALLY MD (NPI 1962021048) is an individual hospitalist provider in Birmingham, Alabama, licensed in Georgia (00000) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1962021048

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameNIKHILA REDDY EDAVALLYCredential: MD

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900

Phone(205) 934-9666

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2020

Enumeration DateApril 9, 2020

Last NPPES UpdateMay 6, 20233 updates tracked since enumeration

NPPES CertifiedMay 6, 2023

✔ NPI 1962021048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in GA · 00000✔ Licensed in GA · 95253

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

625 19TH ST S, Birmingham, AL 35233

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Secondary Practice Location 1

Location 13620 Howell Ferry RdDuluth, GA 30096-3178 · Phone (678) 312-6800 · Fax (678) 312-6982

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

Nikhila Reddy Edavally 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 ID9830529825

PECOS Enrollment IDI20230712004185

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 3

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 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.

743 services256 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

43 services43 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

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

$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.

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

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.

RUI ZHENG-PYWELL MD

Student in an Organized Health Care Education/Training Program