NPIMap

Individual provider Active NPI

Shrinivas Kambali, MD

  • Pulmonary Disease Physician
  • Saginaw, MI
National Provider Identifier
1104056290
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301092283 Issued in MI
Practice address
1015 S Washington Ave
Suite D
Saginaw, MI 48601-2556
Phone
(989) 907-7636
Fax
(989) 907-7584
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 4301092283 MI
Pulmonary Disease Physician 207RP1001X 4301092283 MI Primary

Addresses

Primary practice location

1015 S Washington Ave
Suite D
Saginaw, MI 48601-2556

Mailing address

1015 S Washington Ave
Suite D
Saginaw, MI 48601-2556
Phone (989) 907-7636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shrinivaskambali@smomsjhs.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140707002201 MI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5698990679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center SaginawGroup PAC ID 6305737156, 111 clinicians

Practice addresses (Care Compare)

1015 S Washington Ave
Saginaw, MI 48601-2556

295 Maple St
Tawas City, MI 48763-9352

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8000

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Saginaw Pulmonary Disease CurrentSince Jul 21, 2014 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Jul 21, 2014 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients

Locations

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1015 S Washington Ave
Ste D
Saginaw, MI 48601
Phone (989) 907-7636

1015 S Washington Ave
Ste E
Saginaw, MI 48601
Phone (989) 907-7636

295 Maple St
Ste 201
Tawas City, MI 48763
Phone (989) 362-0188

Interoperability endpoints

  • Direct secure messaging: shrinivas.kambali.1@11016.direct.athenahealth.com

Organizations & group practices 3

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1104056290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "address_2": "SUITE D",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-907-7636",
            "fax_number": "989-907-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "address_2": "SUITE D",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-907-7636",
            "fax_number": "989-907-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBALI",
        "first_name": "SHRINIVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "4301092283",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301092283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shrinivaskambali@smomsjhs.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1015 S Washington Ave",
            "address_2": "Suite D",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.