Individual provider Active NPI

Vishala Chindalore, M.D.

  • Rheumatology Physician
  • Anniston, AL
National Provider Identifier
1083635015
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00020712 Issued in AL
Practice address
1010 Christine Ave
Anniston, AL 36207-5710
Phone
(256) 236-5631
Fax
(256) 236-5637
NPI assigned
Jul 23, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 00020712 AL Primary

Addresses

Primary practice location

1010 Christine Ave
Anniston, AL 36207-5710

Mailing address

PO Box 2127
Anniston, AL 36202-2127
Phone (256) 236-5631

Other identifiers 2

IdentifierTypeStateIssuer
000035561MedicaidAL
3210013OtherALUNITED HEALTHCARE

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
I20100804000706 AL Practitioner - RheumatologyPractitioner - Internal Medicine 6002998366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anniston Medical Clinic, PCGroup PAC ID 0244125854, 13 clinicians

Practice addresses (Care Compare)

1010 Christine Ave
Anniston, AL 36207-5782
Phone (256) 236-5631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00020712ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Medical Clinic PC Rheumatology CurrentSince Oct 31, 1997 Accepting new patients

Locations

1010 Christine Ave
Anniston, AL 36207
Phone (256) 236-5631

Interoperability endpoints

  • Direct secure messaging: vishalachindalore@annmc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1083635015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022127",
            "telephone_number": "256-236-5631",
            "fax_number": "256-236-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075710",
            "telephone_number": "256-236-5631",
            "fax_number": "256-236-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINDALORE",
        "first_name": "VISHALA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00020712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000035561",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3210013",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.