Active NPI
Sandeep Vidyadhar Bhadkamkar, MD
- Internal Medicine Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00025799
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G859 | Other | AL | MEDICARE GROUP NUMBER |
| 25799 | Other | AL | MEDICAL LICENSE |
| P00382845 | Other | RAILROAD MEDICARE | |
| 631706030 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580
Hospital & facility affiliations
- USA Health HCA Providence Hospital, LLC
- USA Health University Hospital
- Grove Hill Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025799 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Community Providers LLC | Internal Medicine | Current | Accepting new patients |
| Franklin Primary Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Providence Hospital | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Providence Hospital | Current | Accepting new patients | |
| Providence Hospital | Current | 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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
AL, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
AL, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Prichard, AL
- NPI 1881015261
Internal Medicine
-
- Hospitalist Physician
- Mobile, AL
- NPI 1871922971
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1992133912
-
- Rural Health Clinic/Center
- Aliceville, AL
- NPI 1295788784
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.