Cardinal Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29794 Issued in AL

Legal business name

CARDINAL MEDICAL GROUP LLC

Practice address

185 Whitesport Dr SW Ste 1
Huntsville, AL 35801-6487

Phone

(562) 131-0312

Fax

(800) 765-1229

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sunitha A Ghanta, MDNPI 1194935155

Title

MD/Owner

Phone

(256) 213-1031

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Sunitha A Ghanta, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1194935155
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1457654840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "256-213-1031",
            "fax_number": "800-765-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WHITESPORT DR SW STE 1",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016487",
            "telephone_number": "562-131-0312",
            "fax_number": "800-765-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "GHANTA",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "256-213-1031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.