Susmitha Nimmagadda, MD
NPI 1689847436 · Hematology & Oncology Physician · Prattville, AL
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susmitha Nimmagadda, MD is a Hematology & Oncology Physician provider in Prattville, AL (NPI 1689847436).
Provider details
- NPI number
- 1689847436
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 29950 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
540 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 232 | $89 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 186 | $132 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 | $60 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 48 | $162 |
Typical Medicare-allowed amounts for these services range $60–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 100 | 22 |
| Letrozole | 79 | 19 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 72 | 39 |
| Lenalidomidebrand: Revlimid | 67 | 15 |
| Dexamethasone | 64 | 30 |
| Ondansetronbrand: Ondansetron Odt | 60 | 44 |
| Prochlorperazine Maleate | 42 | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,983 across 101 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 4145 Carmichael RdMontgomery, AL 36106-2803Phone: (334) 273-7000
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Susmitha Nimmagadda's NPI number?
- Susmitha Nimmagadda's National Provider Identifier (NPI) is 1689847436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susmitha Nimmagadda's specialty?
- Susmitha Nimmagadda is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Susmitha Nimmagadda located?
- Susmitha Nimmagadda's practice location on file with NPPES is 645 Mcqueen Smith Road, Prattville, AL 36066-7263.
- What is Susmitha Nimmagadda's phone number?
- The practice phone number listed in the NPPES registry for Susmitha Nimmagadda is (334) 351-1000.
- Does Susmitha Nimmagadda accept Medicare?
- Susmitha Nimmagadda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susmitha Nimmagadda's NPI active?
- Yes — Susmitha Nimmagadda's NPI (1689847436) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.