NPIMap

Individual provider Active NPI

Sasikumar Vishwanath, M.D.

  • Internal Medicine Physician
  • Florala, AL
National Provider Identifier
1013016732
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19896 Issued in AL
Practice address
1073 3Rd St
Florala, AL 36442-3231
Phone
(334) 858-2050
Fax
(334) 858-2120
NPI assigned
Sep 21, 2006
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19896 AL Primary

Addresses

Primary practice location

1073 3Rd St
Florala, AL 36442-3231

Mailing address

1073 3Rd St
Florala, AL 36442-3231
Phone (334) 858-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000181 AL Practitioner - Internal Medicine 6103880505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1073 3Rd St
Florala, AL 36442-3231
Phone (334) 858-2050

PO Box
Suite 505
Florala, AL 36442

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19896ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S.Vishwanath MD PC Internal Medicine CurrentSince Oct 14, 1996 Accepting new patients
Florala Health and Rehabilitation, LLC Past Accepting new patients

Locations

1073 3rd St
Florala, AL 36442
Phone (334) 858-2050

24245 5th Ave
Florala, AL 36442
Phone (334) 858-2050

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/mizell-be98b63e
  • FHIR API: https://fhir.yourcareuniverse.net/tenant/dfc490e3-ba4d-46f6-a3af-71c1dcca8d5c
  • Direct secure messaging: vishwanath@svishwanath.direct.emds.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1013016732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 3RD ST",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423231",
            "telephone_number": "334-858-2050",
            "fax_number": "334-858-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 3RD ST",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364423231",
            "telephone_number": "334-858-2050",
            "fax_number": "334-858-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISHWANATH",
        "first_name": "SASIKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florala, AL

Sources for this page

Verify at the official NPI Registry.