Individual provider Active NPI

Rao C Chimata, MD

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1245200484
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14494 Issued in AL
Practice address
185 Whitesport Dr SW
Ste 1
Huntsville, AL 35801-6486
Phone
(256) 880-8828
Fax
(256) 880-8756
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14494 AL Primary

Addresses

Primary practice location

185 Whitesport Dr SW
Ste 1
Huntsville, AL 35801-6486

Mailing address

185 Whitesport Dr
Ste1
Huntsville, AL 35801
Phone (256) 880-8828

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
I20110825000622 AL Practitioner - Internal Medicine 7214107424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14494ALMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1245200484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR",
            "address_2": "STE1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-880-8828",
            "fax_number": "256-880-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW",
            "address_2": "STE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016486",
            "telephone_number": "256-880-8828",
            "fax_number": "256-880-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMATA",
        "first_name": "RAO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.