Organization Active NPI

University Walkin Family Care

  • General Practice Physician
  • Huntsville, AL
National Provider Identifier
1548479728
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UNIVERSITY WALKIN FAMILY CARE
Doing business as
University Walkin Family Care
Practice address
4296 University Dr NW
Huntsville, AL 35816-3006
Phone
(256) 890-8700
Fax
(256) 890-8989
NPI assigned
May 22, 2007
Last updated
Aug 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Rajappa Ekambaram, MDNPI 1982659702
Title
Owner
Phone
(256) 890-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

4296 University Dr NW
Huntsville, AL 35816-3006

Mailing address

4296 University Dr NW
Huntsville, AL 35816-3006
Phone (256) 890-8700

Other names 1

  • University Walkin Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026001109 AL Part B Supplier - Clinic/Group Practice 3274550520 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2310408University Walkin Family Care4296 University Drive, Huntsville, AL 35816Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

4296 University Dr NW
Huntsville, AL 35816
Phone (256) 890-8700

4717 University Dr NW
Ste 109
Huntsville, AL 35816
Phone (256) 890-8700

501 Wynn Dr NW
Huntsville, AL 35816
Phone (256) 890-8700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1548479728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4296 UNIVERSITY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163006",
            "telephone_number": "256-890-8700",
            "fax_number": "256-890-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4296 UNIVERSITY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163006",
            "telephone_number": "256-890-8700",
            "fax_number": "256-890-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY WALKIN FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "EKAMBARAM",
        "authorized_official_first_name": "RAJAPPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-890-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Walkin Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.