Active NPI
Anitha Gondhi
- Endocrinology, Diabetes & Metabolism Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 33412
- Practice address
- 551 Azalea Dr
Oxford, MS 38655-7900 - Phone
- (662) 636-5335
- NPI assigned
- Apr 14, 2019
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33412 | MS | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 33412 | MS | Primary |
Addresses
Primary practice location
551 Azalea Dr
Oxford, MS 38655-7900
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Endocrinology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 636-5335
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| BMC - Attala, LLC | Past | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
551 Azalea Dr
Oxford, MS 38655
Phone (662) 234-0332
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Interoperability endpoints
- agondhi642211@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1023481595
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1245793470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "877-348-1281",
"fax_number": "901-227-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 AZALEA DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557900",
"telephone_number": "662-636-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONDHI",
"first_name": "ANITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-14",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "33412",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MS",
"license": "33412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.