Active NPI
Kinjal Janak Ghelani, M.D.
- Psychiatry Physician
- Daphne, AL
National Provider Identifier
1083970701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34588
- Practice address
- 7400 Roper LN
Daphne, AL 36526-5274 - Phone
- (251) 706-5551
- NPI assigned
- Apr 6, 2012
- Last updated
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 34588 | AL | Primary |
Addresses
Primary practice location
7400 Roper LN
Daphne, AL 36526-5274
Mailing address
5750A Southland Dr
Mobile, AL 36693-3316
Phone (251) 706-5551
Other names 1
- Kinjal Jaysukh Mashru
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahantkeshavjivandas LLC | Psychiatry | Current | Accepting new patients |
| Altapointe Health Systems, Inc. | Past | Accepting new patients |
Locations
3929 Airport Blvd
#2306
Mobile, AL 36609
Phone (251) 283-0003
3993 Lawrenceville Hwy NW
Ste 140
Lilburn, GA 30047
Phone (404) 835-1575
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mobile, AL
- NPI 1518095413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1083970701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750A SOUTHLAND DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933316",
"telephone_number": "251-706-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 ROPER LN",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365265274",
"telephone_number": "251-706-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHELANI",
"first_name": "KINJAL",
"middle_name": "JANAK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "34588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KINJAL",
"last_name": "MASHRU",
"middle_name": "JAYSUKH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.