Individual provider Active NPI

Toheed J. Kamal, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Northport, AL
National Provider Identifier
1174517536
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
16177 Issued in AL
Practice address
4401 Watermelon Rd
Northport, AL 35473-5197
Phone
(205) 750-0256
Fax
(205) 750-0082
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 16177 AL Primary

Addresses

Primary practice location

4401 Watermelon Rd
Northport, AL 35473-5197

Mailing address

4401 Watermelon Rd
Northport, AL 35473-5197
Phone (205) 750-0256

Other identifiers 4

IdentifierTypeStateIssuer
51085936OtherALBC/BS OF ALABAMA
000085936MedicaidAL
100484OtherFEDERAL BLACK LUNG PROGRA
110056067OtherRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000658 AL Practitioner - Endocrinology 7214123595 Reassigns benefits to 1 organization
Practice locations: Northport, AL

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Loyola University of Chicago, Stritch School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4401 Watermelon Rd
Northport, AL 35473-5197
Phone (205) 632-6489

Hospital & facility affiliations

  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16171ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Associates of West Alabama, LLC CurrentSince Nov 22, 2015 Accepting new patients

Locations

4401 Watermelon Rd
Northport, AL 35473
Phone (205) 343-2811

Interoperability endpoints

  • Direct secure messaging: toheed.kamal@dtk.eclinicaldirectplus.com

Organizations & group practices 1

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1174517536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735197",
            "telephone_number": "205-750-0256",
            "fax_number": "205-750-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735197",
            "telephone_number": "205-750-0256",
            "fax_number": "205-750-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "TOHEED",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "16177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "51085936",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000085936",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRA",
            "identifier": "100484",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110056067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.