Individual provider Active NPI

Douglas A. Amare, M.D.

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1265418883
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18334 Issued in AL
Practice address
124A South University Blvd
Mobile, AL 36608
Phone
(251) 343-5004
Fax
(251) 343-5136
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18334 AL
Nephrology Physician 207RN0300X 18334 AL Primary

Addresses

Primary practice location

124A South University Blvd
Mobile, AL 36608

Mailing address

P.O. Box 850849
Mobile, AL 36685-0849
Phone (251) 343-5004

Other identifiers 2

IdentifierTypeStateIssuer
51007767OtherALBCBS
000007767MedicaidAL

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
I20100827000581 AL Practitioner - Nephrology 8123025558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

124 S University Blvd
Suite a
Mobile, AL 36608-3078

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

230 E Fern Ave
Foley, AL 36535-2810
Phone (251) 943-4300

2505 Hand Ave
Bay Minette, AL 36507-4101
Phone (251) 433-1180

917 A Plantation Blvd
Fairhope, AL 36532-2949
Phone (251) 990-3533

Hospital & facility affiliations

  • FMC Eastern Shore Dialysis facility, Fairhope, AL, CCN 012547
  • Fresenius Kidney Care Foley Dialysis facility, Foley, AL, CCN 012634
  • FMC Home Therapy Services of Baldwin County Dialysis facility, Fairhope, AL, CCN 012667
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Mobile, P.a. Specialist CurrentSince Jul 1, 1999 Accepting new patients

Locations

2505 Hand Ave
Bay Minette, AL 36507
Phone (251) 433-1180

917A Plantation Blvd
Fairhope, AL 36532
Phone (251) 410-8272

1715 N Bunner St
Foley, AL 36535
Phone (251) 943-2300

230 E Fern Ave
Foley, AL 36535
Phone (251) 943-1500

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

Interoperability endpoints

  • Direct secure messaging: damare26240@direct.acumenmd.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 6

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1265418883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 850849",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850849",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124A SOUTH UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARE",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "18334",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "18334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51007767",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000007767",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.