Active NPI
Mamatha Gandhi, MBBS
- Nephrology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 30960
- Practice address
- 619 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4011
- NPI assigned
- Aug 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 30960 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35233-1900
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
3570 Grandview Pkwy Ste 101
Birmingham, AL 35243-2065
Phone (205) 354-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171183 | Medicaid | AL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
Hospital & facility affiliations
- DaVita Imperial Home Dialysis
- University of Alabama Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.37 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 64.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30960 | AL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Kidney Care PC | Nephrology | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Nephrology Medical Associates of Georgia LLC | Nephrology | Current | Accepting new patients |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| Nephrology Medical Associates of Georgia, LLC | Nephrology | Current | Accepting new patients |
| Oak Mountain Group Services, LLC | Current | Accepting new patients | |
| Chitto Dialysis LLC | Past | Accepting new patients | |
| Gadsden Nephrology LLC | Nephrology | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
3570 Grandview Pkwy
Ste 101
Birmingham, AL 35243
Phone (205) 354-2100
1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100
339 Walker Chapel Plz
Ste 115
Fultondale, AL 35068
Phone (205) 250-6424
300 Medical Center Dr
Ste 102
Gadsden, AL 35903
Phone (256) 492-7965
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
1840 E Ray Rd
Chandler, AZ 85225
Phone (855) 397-0197
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Nephrology Physician
- Birmingham, AL
- NPI 1407192172
-
- Hospitalist Physician
- Birmingham, AL
- NPI 1366840761
-
- Nephrology Physician
- Birmingham, AL
- NPI 1265020937
-
- Physical Medicine & Rehabilitation Physician
- Vestavia Hills, AL
- NPI 1609321165
-
- Nephrology Physician
- Thomasville, GA
- NPI 1740706951
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hoover, AL
- NPI 1881265726
-
- Nephrology Physician
- Gadsden, AL
- NPI 1275870123
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1154587897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331900",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [
{
"address_1": "3570 Grandview Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352432065",
"country_code": "US",
"telephone_number": "205-354-2100",
"fax_number": "866-343-6766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANDHI",
"first_name": "MAMATHA",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "30960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171183",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.