NPIMap

Individual provider Active NPI

Apoorv Deotare, MD

  • Nephrology Physician
  • Montgomery, AL
National Provider Identifier
1487149134
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.42823 Issued in AL
Practice address
2034 Chestnut St
Montgomery, AL 36106-1111
Phone
(334) 269-0212
Fax
(334) 269-2144
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X MD.42823 AL Primary

Addresses

Primary practice location

2034 Chestnut St
Montgomery, AL 36106-1111

Mailing address

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230525000400 AL Practitioner - NephrologyPractitioner - Internal Medicine 8921355611 Reassigns benefits to 1 organization
I20260526000878 WA Practitioner - Internal Medicine 8921355611

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Kidney Specialists LLPGroup PAC ID 0345220224, 10 clinicians

Practice addresses (Care Compare)

2034 Chestnut St
Montgomery, AL 36106-1111
Phone (334) 269-0212

Hospital & facility affiliations

  • DaVita Monarch Dialysis Dialysis facility, Montgomery, AL, CCN 012669
  • DaVita PDI-Montgomery Dialysis facility, Montgomery, AL, CCN 012505
  • FMC Capitol City Dialysis facility, Montgomery, AL, CCN 012500
  • FKC Union Springs Dialysis facility, Union Springs, AL, CCN 012649
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029
  • Encompass Rehabilitation Hospital of Montgomery Inpatient rehabilitation facility, Montgomery, AL, CCN 013028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Kidney Specialists, LLP CurrentSince Jul 1, 2023 Accepting new patients

Locations

2034 Chestnut St
Montgomery, AL 36106
Phone (205) 269-0212

Interoperability endpoints

  • Direct secure messaging: apoorv.deotare@direct.davitaphysiciansolutions.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 10

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1487149134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061111",
            "telephone_number": "334-269-0212",
            "fax_number": "334-269-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOTARE",
        "first_name": "APOORV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.42823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.