Organization Active NPI

Rheumatology and Arthritis Clinic, P.C

  • Rheumatology Physician
  • Huntsville, AL
National Provider Identifier
1376693606
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00026049 Issued in AL
Legal business name
RHEUMATOLOGY AND ARTHRITIS CLINIC, P.C
Practice address
400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429
Phone
(256) 880-4077
Fax
(256) 880-5277
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Vijayanarayana Rao Jampala, MDNPI 1689688970
Title
Owner/MD
Phone
(256) 880-4077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 00026049 AL Primary

Addresses

Primary practice location

400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429

Mailing address

400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429
Phone (256) 880-4077

Other practice location 1

2828 Highway 31 S Ste 108
Decatur, AL 35603-1538
Phone (256) 350-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041227000490 AL Part B Supplier - Clinic/Group Practice 4981662764 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, AL; Huntsville, AL

National Provider Directory

National Provider Directory

Locations

2828 Highway 31 S
Ste 108
Decatur, AL 35603
Phone (256) 350-0600

400 Whitesport Dr SW
Ste 101
Huntsville, AL 35801
Phone (256) 880-4077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1376693606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-880-4077",
            "fax_number": "256-880-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-880-4077",
            "fax_number": "256-880-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Highway 31 S Ste 108",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031538",
            "country_code": "US",
            "telephone_number": "256-350-0600",
            "fax_number": "256-350-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RHEUMATOLOGY AND ARTHRITIS CLINIC, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "JAMPALA",
        "authorized_official_first_name": "VIJAYANARAYANA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "256-880-4077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00026049",
            "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 Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.