Active NPI
Chethana R. Phonde, M.D.
- Hospitalist Physician
- Montgomery, AL
National Provider Identifier
1235533407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD34541
- Practice address
- 4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971 - Phone
- (334) 613-3680
- Fax
- (334) 613-3685
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD34541 | AL | |
| Hospitalist Physician | 208M00000X | MD34541 | AL | Primary |
Addresses
Primary practice location
4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971
Mailing address
4371 Narrow Lane Rd
Suite 100
Montgomery, AL 36116-2971
Phone (334) 613-3680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD34541 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Talk Health FL PA | Past | Accepting new patients |
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.
-
- Public Health & General Preventive Medicine Physician
- Bethesda, MD
- NPI 1477263077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1235533407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 NARROW LANE RD",
"address_2": "SUITE 100",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162971",
"telephone_number": "334-613-3680",
"fax_number": "334-613-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 NARROW LANE RD",
"address_2": "SUITE 100",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361162971",
"telephone_number": "334-613-3680",
"fax_number": "334-613-3685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHONDE",
"first_name": "CHETHANA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD34541",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AL",
"license": "MD34541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.