NPIMap

Individual provider Active NPI

Sunil Chandra, M.D.

  • Internal Medicine Physician
  • Northport, AL
National Provider Identifier
1417060666
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20650 Issued in AL
Practice address
4108 Watermelon Rd
Northport, AL 35473-5130
Phone
(205) 366-9898
Fax
(205) 366-9896
NPI assigned
Aug 15, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20650 AL
Internal Medicine Physician 207R00000X 20650 AL Primary
General Practice Physician 208D00000X 20650 AL

Addresses

Primary practice location

4108 Watermelon Rd
Northport, AL 35473-5130

Mailing address

4108 Watermelon Rd
Northport, AL 35473-5130
Phone (205) 366-9898

Other identifiers 1

IdentifierTypeStateIssuer
529905210MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000484 AL Practitioner - Internal Medicine 5991700437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curewell Medical CenterGroup PAC ID 3971507435, 2 clinicians

Practice addresses (Care Compare)

4108 Watermelon Rd
Northport, AL 35473-5130
Phone (205) 366-9898

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20650ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Apr 11, 2001 Accepting new patients
Curewell Medical Center CurrentSince May 1, 2000 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
DCH Healthcare Authority Internal Medicine Current Accepting new patients
The DCH Healthcare Authority CurrentSince Apr 11, 2001 Accepting new patients
American Family Care, LLC Family Medicine Past Accepting new patients
Cardiovascular Consultants of Alabama, P.C. PastSince May 1, 2000 Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

4108 Watermelon Rd
Northport, AL 35473
Phone (205) 366-9898

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1417060666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735130",
            "telephone_number": "205-366-9898",
            "fax_number": "205-366-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735130",
            "telephone_number": "205-366-9898",
            "fax_number": "205-366-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRA",
        "first_name": "SUNIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20650",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "20650",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905210",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.