DR. SUMANTH DAMODAR PRABHU (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1265417992

DR. SUMANTH DAMODAR PRABHU (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2021038192 (MO). The NPI Number for DR. SUMANTH DAMODAR PRABHU (MD) is 1265417992

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUMANTH DAMODAR PRABHU (MD)
NPI
1265417992
Phone
(205) 731-9701
Address
PO BOX 55310
Enumeration Date
15 December 2005
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
9739210972
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20211202001651
Address ID
MO631101032SA4921XPLXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120203000273IAdvanced Heart Failure And Transplant CardiologyALTBD
I20211202001651IAdvanced Heart Failure And Transplant CardiologyMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6529$0
99214Established patient office or other outpatient visit, 30-39 minutes2418$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1919$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 35255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

What is DR. SUMANTH DAMODAR PRABHU (MD)'s NPI number?
DR. SUMANTH DAMODAR PRABHU (MD)'s NPI is 1265417992 — the number used across U.S. healthcare to identify this provider.
Is DR. SUMANTH DAMODAR PRABHU (MD) shown as active in public data?
Registry records indicate DR. SUMANTH DAMODAR PRABHU (MD) maintains an active NPI.
What area of care is associated with DR. SUMANTH DAMODAR PRABHU (MD)?
DR. SUMANTH DAMODAR PRABHU (MD)'s record emphasizes Advanced Heart Failure and Transplant Cardiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SUMANTH DAMODAR PRABHU (MD) located near Birmingham?
DR. SUMANTH DAMODAR PRABHU (MD) currently maps to Birmingham, Alabama in this extract.
When was this NPI issued?
Enumeration for DR. SUMANTH DAMODAR PRABHU (MD) is noted as December 15, 2005 where the registry provides it.

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