Active NPI
Amogh Gajankush, MD
- Critical Care Medicine (Internal Medicine) Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 37926
- Practice address
- 1104 Monroe St SW
Huntsville, AL 35801 - Phone
- (256) 265-5864
- Fax
- (256) 265-5865
- NPI assigned
- Sep 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME159818 | FL | |
| Infectious Disease Physician | 207RI0200X | 37926 | AL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 37926 | AL | Primary |
Addresses
Primary practice location
1104 Monroe St SW
Huntsville, AL 35801
Mailing address
PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-5864
Other practice location 1
1104 Monroe St SW
Huntsville, AL 35801
Phone (256) 265-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Critical Care (Intensivists)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (954) 941-8300
Hospital & facility affiliations
- Broward Health Imperial Point
- Broward Health North
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuview Telehealth, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
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 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1295084564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358042705",
"telephone_number": "256-265-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 MONROE ST SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "35801",
"telephone_number": "256-265-5864",
"fax_number": "256-265-5865"
}
],
"practiceLocations": [
{
"address_1": "1104 Monroe St SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "35801",
"country_code": "US",
"telephone_number": "256-265-5864",
"fax_number": "256-265-5865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJANKUSH",
"first_name": "AMOGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-02",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME159818",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AL",
"license": "37926",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AL",
"license": "37926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.