NPIMap

Individual provider Active NPI

Sunil K Jaiswal, MD

  • Internal Medicine Physician
  • Collinsville, AL
National Provider Identifier
1053367342
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22810 Issued in AL
Practice address
107 Main Street
Collinsville, AL 35961
Phone
(256) 494-5744
Fax
(256) 442-7594
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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 22810 AL Primary

Addresses

Primary practice location

107 Main Street
Collinsville, AL 35961

Mailing address

531 River Ridge Rd
Gadsden, AL 35901-9303
Phone (256) 442-7594

Other identifiers 1

IdentifierTypeStateIssuer
000060252MedicaidAL

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
I20081007000289 AL Practitioner - Internal MedicinePractitioner - Infectious Disease 0941378749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1039 Forrest Ave
Gadsden, AL 35901-3539
Phone (256) 467-4028

531 River Ridge Rd
Gadsden, AL 35901-9303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22810ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Alabama Center for Infectious Disease& Internal Medicine CurrentSince May 31, 2013 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Prime Healthcare Services - Gadsden LLC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Riverview Regional Medical Center LLC Past Accepting new patients

Locations

1039 Forrest Ave
Gadsden, AL 35901
Phone (256) 543-7406

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIFBD/Endpoint/BJIFBD

Organizations & group practices 5

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 5

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1053367342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 RIVER RIDGE RD",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359019303",
            "telephone_number": "256-442-7594",
            "fax_number": "256-442-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAIN STREET",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "35961",
            "telephone_number": "256-494-5744",
            "fax_number": "256-442-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "SUNIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060252",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, AL

Sources for this page

Verify at the official NPI Registry.