DR. SUMANTH DAMODAR PRABHU (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1265417992
Advanced Heart Failure and Transplant Cardiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
14 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY in AL
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Provider Addresses for DR. SUMANTH DAMODAR PRABHU (MD)
Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom
BIRMINGHAM, AL 352555310
Phone: (205) 731-9701
Type: Mailing
Kirklin Clinic, 2000, 6th Avenue South, Automotive Historic District, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 352332110
Phone: (205) 801-8000
Type: Location
660 S EUCLID AVE
CB 8086
SAINT LOUIS, MO 631101010
Phone: (314) 362-1291
Fax: (314) 362-4278
Type: Mailing
1 BARNES JEWISH HOSPITAL PLZ
DIV IM CARDIOLOGY
SAINT LOUIS, MO 631101003
Phone: (314) 362-1291
Fax: (314) 362-4278
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-1291
Fax: (314) 362-4278
Type: Mailing
4921 PARKVIEW PL
DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 631101032
Phone: (314) 362-1291
Fax: (314) 362-4278
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $3,125.
Total Amount is formed as General ($3,125) + Research ($0) + Ownership ($0) = $3,125.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: SANOFI US SERVICES INC. ($1,840).
Total Amount
$3,125
General + Research + Ownership
Payments
4
Total payment records
General Amount
$3,125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI US SERVICES INC. | $1,840 |
| SANOFI-AVENTIS U.S. LLC | $963 |
| Edwards Lifesciences Corporation | $166 |
| Medtronic, Inc. | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120203000273 | I | Advanced Heart Failure And Transplant Cardiology | AL | TBD |
| I20211202001651 | I | Advanced Heart Failure And Transplant Cardiology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 65 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 18 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | 19 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 35255)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| Rheumatology, Internal Medicine | MO | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO |
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