Individual provider Active NPI

Andrew Felis, DO

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1407275068
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO.1597 Issued in AL
Practice address
124 S University Blvd
Mobile, AL 36608-3088
Phone
(251) 343-5004
Fax
(251) 343-8383
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO.1597 AL Primary

Addresses

Primary practice location

124 S University Blvd
Mobile, AL 36608-3088

Mailing address

124 S University Blvd
Mobile, AL 36608-3088
Phone (251) 343-5004

Other practice location 1

2451 Fillingim St
Res Box 7th Floor
Mobile, AL 36617-2238
Phone (251) 471-7207

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
I20190408001117 AL Practitioner - NephrologyPractitioner - Internal Medicine 6709104961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1597ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Mobile, P.a. CurrentSince Mar 1, 2019 Accepting new patients

Locations

2505 Hand Ave
Bay Minette, AL 36507
Phone (251) 433-1180

215 Walker Springs Rd
Jackson, AL 36545
Phone (251) 246-6667

124 S University Blvd
Mobile, AL 36608
Phone (334) 304-0042

1217 Government St
Mobile, AL 36604
Phone (251) 434-8183

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

Interoperability endpoints

  • Direct secure messaging: afelis26263@direct.acumenmd.com

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1407275068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083088",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083088",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 Fillingim St",
            "address_2": "Res Box 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172238",
            "country_code": "US",
            "telephone_number": "251-471-7207",
            "fax_number": "251-471-7468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIS",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO.1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.