Individual provider Active NPI

Krishna Kamal Pasala, M.D.,

  • Internal Medicine Physician
  • Brooklyn, AL
National Provider Identifier
1033349790
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.31902 Issued in AL
Practice address
150 Du Rhu Drive, Apt 1602
Brooklyn, AL 36608-5509
Phone
(859) 806-2145
NPI assigned
Jul 15, 2009
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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 MD.31902 AL Primary

Addresses

Primary practice location

150 Du Rhu Drive, Apt 1602
Brooklyn, AL 36608-5509

Mailing address

150 Du Rhu Dr
Apartment 1602
Mobile, AL 36608-1220

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
I20120919000829 AL Practitioner - Internal Medicine 4183872948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117

1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189

424 S Wilson Ave
Prichard, AL 36610-3910
Phone (251) 452-1442

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.31902ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Primary Health Center, Inc CurrentSince Jul 23, 2012 Accepting new patients
Franklin Primary Health Center, Inc Internal Medicine CurrentSince Jul 23, 2012 Accepting new patients
Imc-Hospitalists LLC CurrentSince Jan 2, 2018 Accepting new patients
Franklin Primary Health Center Inc. Internal Medicine Current Accepting new patients
Franklin Primary Health Center, Inc. Internal Medicine Past Accepting new patients
Mobile Infirmary Association Past Accepting new patients

Locations

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

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

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

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

Organizations & group practices 6

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 1

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1033349790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DU RHU DR",
            "address_2": "APARTMENT 1602",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DU RHU DRIVE, APT 1602",
            "city": "BROOKLYN",
            "state": "AL",
            "postal_code": "366085509",
            "telephone_number": "859-806-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASALA",
        "first_name": "KRISHNA",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.31902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.