Active NPI
Fnu Anshul, MD
- Critical Care Medicine (Internal Medicine) Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- MD.44748
- Practice address
- 1108 Ross Clark Cir Dept of
Dothan, AL 36301-3022 - Phone
- (334) 793-8111
- NPI assigned
- Jul 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD.44748 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir Dept of
Dothan, AL 36301-3022
Mailing address
1108 Ross Clark Cir Dept of
Dothan, AL 36301-3022
Phone (334) 793-8111
Other practice location 1
3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-4489
Other practice location 2
1 Medical Center Blvd
Department of Medicine 3 East
Chester, PA 19013-3902
Phone (610) 874-6114
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
AL, Multi-Specialty
-
- Clinical Medical Laboratory
- Dothan, AL
- NPI 1114161601
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
Multi-Specialty
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Healthcare Authority
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087
Hospital & facility affiliations
- Southeast Health Medical Center
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 |
|---|---|---|---|---|
| I20230221003397 | AL | Practitioner - Critical Care (Intensivists) | 7517330509 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44748 | AL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Laboratory Associates | Multi-Specialty | Current | Accepting new patients |
| Houston County Healthcare Authority | Multi-Specialty | Current | Accepting new patients |
| Houston County Healthcare Authority | Multi-Specialty | Current | Accepting new patients |
| Houston County Healthcare Authority | Multi-Specialty | Current | Accepting new patients |
| Medcore Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1093168593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR DEPT OF",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR DEPT OF",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8111"
}
],
"practiceLocations": [
{
"address_1": "3000 Arlington Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436142595",
"country_code": "US",
"telephone_number": "419-383-4489",
"fax_number": "419-383-6180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Blvd",
"address_2": "Department of Medicine 3 East",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "PA",
"postal_code": "190133902",
"country_code": "US",
"telephone_number": "610-874-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANSHUL",
"first_name": "FNU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-20",
"last_updated": "2022-07-27",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AL",
"license": "MD.44748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.