Individual provider Active NPI

Athira Upendran Nair, MD

  • Pediatrics Physician
  • Mobile, AL
National Provider Identifier
1447540950
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
41706 Issued in AL
Practice address
2055 Airport Blvd
Mobile, AL 36606-1701
Phone
(251) 234-1625
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A142080 CA
Pediatric Cardiology Physician 2080P0202X A142080 CA
Pediatric Cardiology Physician 2080P0202X 41706 AL
Pediatrics Physician 208000000X 41706 AL Primary

Addresses

Primary practice location

2055 Airport Blvd
Mobile, AL 36606-1701

Mailing address

2055 Airport Blvd
Mobile, AL 36606-1701
Phone (251) 234-1625

Other practice location 1

2051 Airport Blvd
Mobile, AL 36606-1701
Phone (251) 234-1625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201216002238 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 7618260571 Reassigns benefits to 2 organizations
I20241202002861 WA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7618260571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midtown Medical Mobile LLCGroup PAC ID 3971031535, 3 clinicians

Practice addresses (Care Compare)

2055 Airport Blvd
Mobile, AL 36606-1701
Phone (251) 235-1625

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142080CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Community Hospital and Medical Center Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Dec 1, 2020 Accepting new patients
Midtown Medical Mobile LLC Family Medicine CurrentSince Jun 22, 2024 Accepting new patients
Multicare Health System CurrentSince Nov 6, 2024 Accepting new patients
USA Health Physician Billing Services LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Multicare Health System Family Medicine CurrentSince Nov 6, 2024 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

2051 Airport Blvd
Mobile, AL 36606
Phone (251) 234-1625

2055 Airport Blvd
Mobile, AL 36606
Phone (251) 234-1625

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1447540950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061701",
            "telephone_number": "251-234-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061701",
            "telephone_number": "251-234-1625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366061701",
            "country_code": "US",
            "telephone_number": "251-234-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "ATHIRA",
        "middle_name": "UPENDRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A142080",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A142080",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AL",
            "license": "41706",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "41706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.