Individual provider Active NPI

Jakarinya Mangalamoorthy, M.D.

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1376390161
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.6378R Issued in AL
Practice address
2451 University Hospital Dr. RM. 714
Mobile, AL 36617
Phone
(251) 471-7117
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L.6378R AL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X L.6378R AL Primary

Addresses

Primary practice location

2451 University Hospital Dr. RM. 714
Mobile, AL 36617

Mailing address

2451 University Hospital Dr. RM. 714
Mobile, AL 36617
Phone (251) 471-7117

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
I20241231003400 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6901333087

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jakarinya.mangalamoorthy.1@27270.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1376390161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR. RM. 714",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "251-471-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR. RM. 714",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "251-471-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGALAMOORTHY",
        "first_name": "JAKARINYA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "L.6378R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.6378R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.