NPIMap

Individual provider Active NPI

Sanjiv Chatterji, MD PHD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1528053147
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00020559 Issued in AL
Practice address
50 Medical Park Dr E
St. Vincent's East
Birmingham, AL 35235-3401
Phone
(205) 545-9530
Fax
(205) 545-9529
NPI assigned
Sep 20, 2005
Last updated
Jun 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00020559 AL Primary
Internal Medicine Physician 207R00000X 20559 AL

Addresses

Primary practice location

50 Medical Park Dr E
St. Vincent's East
Birmingham, AL 35235-3401

Mailing address

2016 Stonegate TRL
Suite 112
Vestavia Hills, AL 35242-2260
Phone (205) 545-9530

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
I20040130000798 AL Practitioner - Internal Medicine 7517860059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Mountain Group Services, LLCGroup PAC ID 3678886256, 62 clinicians

Practice addresses (Care Compare)

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00020559ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC Current Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Feb 1, 2018 Accepting new patients
Vincentian Physician Services LLC Emergency Medicine CurrentSince Jun 13, 2017 Accepting new patients
St. Vincent's Blount Past Accepting new patients
Affinity Hospital LLC Past Accepting new patients
Carraway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Gardendale Physician Associates, P.C. Internal Medicine PastSince Jun 13, 2017 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

50 Medical Park Dr E
Ste 158
Birmingham, AL 35235
Phone (205) 838-3156

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

150 Gilbreath Dr
#201
Oneonta, AL 35121
Phone (205) 274-8198

150 Gilbreath Dr
Ste 102
Oneonta, AL 35121
Phone (205) 274-3010

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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 6

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1528053147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 STONEGATE TRL",
            "address_2": "SUITE 112",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352422260",
            "telephone_number": "205-545-9530",
            "fax_number": "205-545-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "address_2": "ST. VINCENT'S EAST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-545-9530",
            "fax_number": "205-545-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERJI",
        "first_name": "SANJIV",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00020559",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.