Individual provider Active NPI

Sandeep Vidyadhar Bhadkamkar, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1013977339
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00025799 Issued in AL
Practice address
6801 Airport Blvd
Mobile, AL 36608-3709
Phone
(251) 266-3580
Fax
(251) 266-3581
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 00025799 AL Primary

Addresses

Primary practice location

6801 Airport Blvd
Mobile, AL 36608-3709

Mailing address

6701 Airport Blvd Ste D143
Mobile, AL 36608-6701
Phone (251) 342-3949

Other practice location 1

209 7th Ave
Atmore, AL 36502-2603
Phone (251) 368-8609

Other identifiers 4

IdentifierTypeStateIssuer
G859OtherALMEDICARE GROUP NUMBER
25799OtherALMEDICAL LICENSE
P00382845OtherRAILROAD MEDICARE
631706030MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000727 AL Practitioner - Internal Medicine 4981698818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • Grove Hill Memorial Hospital Hospital, Grove Hill, AL, CCN 010091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025799ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Community Providers LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Franklin Primary Health Center, Inc Internal Medicine CurrentSince Feb 15, 2014 Accepting new patients
Providence Hospital CurrentSince Sep 1, 2015 Accepting new patients
Franklin Primary Health Center, Inc Internal Medicine CurrentSince Feb 15, 2014 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Sep 1, 2015 Accepting new patients
Franklin Primary Health Center Inc. Internal Medicine Current Accepting new patients
USA Health HCA Providence Hospital LLC Past Accepting new patients
Aliceville Rural Health Clinic PC Past Accepting new patients

Locations

316 S Main St
Evergreen, AL 36401
Phone (251) 578-1163

1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

6701 Airport Blvd
Ste D143
Mobile, AL 36608
Phone (205) 633-2314

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1013977339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D143",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086701",
            "telephone_number": "251-342-3949",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-266-3580",
            "fax_number": "251-266-3581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Atmore",
            "state": "AL",
            "postal_code": "365022603",
            "country_code": "US",
            "telephone_number": "251-368-8609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHADKAMKAR",
        "first_name": "SANDEEP",
        "middle_name": "VIDYADHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00025799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "G859",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25799",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00382845",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631706030",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.