Kamal Khan Raisani, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21461 Issued in AL

Practice address

115 Harper Court
Tuscaloosa, AL 35401

Phone

(205) 366-3010

Fax

(205) 366-3012

NPI assigned

Apr 9, 2008

Last updated

May 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Alabama Dept of Mental Health & Mental Retardation

  dba Greil Memorial Psychiatric Hospital

  • Psychiatric Hospital
  • Montgomery, AL
  • NPI 1619190998
  Medicare reassignment NPD
• State of Alabama Dept of Finace

  dba Taylor Hardin Secure Medical Facility

  • Psychiatric Hospital
  • Tuscaloosa, AL
  • NPI 1437295409
  NPD
• State of Alabama Dept of Finance

  dba Mary Starke Harper Geriatric Psychiatry Center

  • Psychiatric Hospital
  • Tuscaloosa, AL
  • NPI 1033213624
  NPD

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1396918546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HARPER COURT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HARPER COURT",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-366-3010",
            "fax_number": "205-366-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISANI",
        "first_name": "KAMAL",
        "middle_name": "KHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21461",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AL",
            "license": "21461",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009954400",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R.H.O.C., Inc.
• Rachel Allgood LPC, LLC
• Rashmi Radhakrishnan
• Roslyn Mariah Ragsdale, RKT
• Tracee Shanae Raife, ANP
• Renada Carol Ramey, LCSW
• John Ramsey, RPT
• Elizabeth Rand, M.D.
• Randall D. Ayers
• Carla R Randolph, PA

• Psychiatry Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.