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PROVIDER PROFILE · NPI 1356625511

NPI 1356625511

CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
REFERRAL NETWORK

Where NPI 1356625511's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 12 inbound referrers · 33 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
KILGO, JERRY49363
Praful Patel
Internal Medicine · Montgomery, AL
45107
LIFESTAR RESPONSE OF ALABAMA, INC.34386
David Hodo
Psychiatry · Selma, AL
26372
Park Chittom
Internal Medicine · Selma, AL
24146
Lori Jasper
Optometry · Birmingham, AL
1948
Robert Simpson
Interventional Radiology · Montgomery, AL
17106
SSC MONTGOMERY CEDAR CREST OPERATING COMPANY LLC1517
NPI 105334922515184
NPI 12058080111336
Park Chittom Ii
Internal Medicine · Selma, AL
1386
Pavan Kumar Mamilla
Family Practice · Alpharetta, GA
1389
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Clinical Laboratory Services, Inc.
Clinical Laboratory · Winder, GA
1051,201
SSC SELMA OPERATING COMPANY LLC57414
KILGO, JERRY51295
VAUGHAN REGIONAL MEDICAL CENTER LLC46324
Praful Patel
Internal Medicine · Montgomery, AL
44102
Malcolm Brown
Internal Medicine · Montgomery, AL
41632
Latoya Lane
Nurse Practitioner · Saint Louis, MO
34304
Symphony Diagnostic Services No 1 Llc
Portable X-Ray Supplier · Sparks, MD
32124
Jimmy Bowlin
Nurse Practitioner · Gadsden, AL
3136
LIFESTAR RESPONSE OF ALABAMA, INC.30406
David Hodo
Psychiatry · Selma, AL
29404
Nash Ditmetaroj
Optometry · Jonesboro, GA
2848
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.