Allan Mutale, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1303 Washington St
Marion, AL 36756-3217

Phone

(334) 247-1006

NPI assigned

Apr 9, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  NPD (past)

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1124960844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 WASHINGTON ST",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367563217",
            "telephone_number": "206-640-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 WASHINGTON ST",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367563217",
            "telephone_number": "334-247-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTALE",
        "first_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naureen Maqsood, MD
• Robert Lee Martin III, D.O.
• T'Kayceon McCarroll
• Julia Renee Miller, SLP
• Lora N. Mims, CRNP
• PC Ambulance, Inc.
• Perry County
• Perry County Health Dept Offsite Epsdt
• Perry County Health Dept STD
• Perry County Health Dept-Marion Adult Immun

• Student in an Organized Health Care Education/Training Program in Marion, AL
• Providers in Marion, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.

Verify at the official NPI Registry.