Kewal K Verma, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7306 Issued in AL

Practice address

1642 Pelham Rd S
Jacksonville, AL 36265-3312

Phone

(256) 365-2233

Fax

(256) 365-2187

NPI assigned

Feb 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jacksonville Medical Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AL
  • NPI 1073731774
  NPD (past)
• Jacksonville Surgical & Medical Affiliates, LLC

  • Clinic/Center
  • Jacksonville, AL
  • NPI 1104078831
  NPD (past)
• Rise Primary Care, LLC

  • Family Medicine Physician
  • Jacksonville, AL
  • NPI 1992551824
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1285802876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 SUITE A PELHAM ROAD SOUTH",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "36265",
            "telephone_number": "256-365-2233",
            "fax_number": "256-365-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653312",
            "telephone_number": "256-365-2233",
            "fax_number": "256-365-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMA",
        "first_name": "KEWAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AL",
            "license": "7306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenah Tracy
• Turning Point Christian Counseling, LLC
• William Ernest Tyndall, M.D.
• Salisia Shunta Valentine, NP
• Shannon McKala Vaughn
• Veterans Legacy Home Support Services LLC
• Taylor Max Wade, FNP-C
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co

• Family Medicine Physician in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.