Madan Kumar Nanjunde Gowda

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

38529 Issued in AL

Practice address

101 Sivley Rd SW
Huntsville, AL 35801-4421

Phone

(256) 265-3880

Fax

(256) 265-3886

NPI assigned

Oct 28, 2008

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Madan Gowda Professional name

Medicare fee-for-service enrollment

Enrolled in OH, AL2 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

Specialty

Internal MedicineAlso: Neurology

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HH Physician CareGroup PAC ID 4082042940, 108 clinicians

Nephrology Consultants LLCGroup PAC ID 5092603472, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Chase Dialysis facility, Huntsville, AL, CCN 012606
• FMC Discovery Dialysis facility, Huntsville, AL, CCN 012613
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• HH Physician Care

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144860123
  Medicare reassignment Care Compare group NPD
• Nephrology Consultants LLC

  • Nephrology Physician
  • Huntsville, AL
  • NPI 1699874222
  Medicare reassignment Care Compare group NPD
• Healthcare Authority of the City of Huntsville

  dba North Alabama Hospitalist

  • Hospitalist Physician
  • Huntsville, AL
  • NPI 1700052701
  Medicare reassignment NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bio-Medical Applications of Alabama, Inc

  dba Fresenius Medical Care Discovery Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Huntsville, AL
  • NPI 1306948708

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Alabama, Inc.

  dba FMC Chase Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Huntsville, AL
  • NPI 1336251149

  Dialysis facility

  Care Compare affiliation Name & address match
• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  dba Huntsville Hospital

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1548413230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-265-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-3880",
            "fax_number": "256-265-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANJUNDE GOWDA",
        "first_name": "MADAN KUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "38529",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "38529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADAN",
            "last_name": "GOWDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nance Enterprises, LLC (Home Helpers & Direct Link, LLC of Huntsville)
• Nancy T. White, MD, PC
• Nancy U. Neighbors
• Siddharta Prasad Nandi, MD
• Forest Nandjou
• Zania Narcisse, M.D.
• Jalees Naseer, MD
• Samih J. Nassif Abudinen, MD
• National Telewound Care (Alabama Telewound Care)
• National Vision, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.
• 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.