Gopal R Majmundar, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19452 Issued in KY

Practice address

11217 Main Street
Martin, KY 41649-0828

Phone

(606) 285-9000

Fax

(606) 285-9484

NPI assigned

Jun 28, 2005

Reactivated

Mar 23, 2006

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 5

Medicare fee-for-service enrollment

Enrolled in KY

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Magoffin County Health Department

  • Public Health or Welfare Agency
  • Salyersville, KY
  • NPI 1811179294
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1467458034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 MAIN STREET",
            "address_2": "PO BOX 828",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490828",
            "telephone_number": "606-886-1714",
            "fax_number": "606-285-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11217 MAIN STREET",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416490828",
            "telephone_number": "606-285-9000",
            "fax_number": "606-285-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJMUNDAR",
        "first_name": "GOPAL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-10-12",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "19452",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "19452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUCROSS BLUE SHIELD",
            "identifier": "000000068352",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "000000000827",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1247781",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64194525",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "209332",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Majid J Jasim, PHARMACIST
• Stephanie Erin Johnson, APRN FNP-C
• Eileen Marie Kummant, MD
• Peter K Kummant, MD
• Cammie Lawson, BA/PE
• Alison May
• Taylor Leigh McFadden, DMD
• Med-Save 3 LLC
• Medicine Market
• Amy Montgomery, MHA

• All providers in Martin, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.