Active NPI
Curewell Medical Center
- Legal Medicine
- Northport, AL
National Provider Identifier
1598868044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 20650
- Legal business name
- CUREWELL MEDICAL CENTER
- Practice address
- 4108 Watermelon Rd
Northport, AL 35473-5130 - Phone
- (205) 366-9898
- Fax
- (205) 366-9896
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sunil Chandra, M.D.
- Title
- Owner
- Phone
- (205) 366-9898
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 20650 | AL | Primary |
Addresses
Primary practice location
4108 Watermelon Rd
Northport, AL 35473-5130
Mailing address
4108 Watermelon Rd
Northport, AL 35473-5130
Phone (205) 366-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529905210 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060914000428 | AL | Part B Supplier - Clinic/Group Practice | 3971507435 |
Receives reassigned benefits from 7 practitioners Practice locations: Northport, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0972679 | Curewell Medical Center | Provider-performed microscopy | Apr 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
4108 Watermelon Rd
Northport, AL 35473
Phone (205) 366-9898
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Tuscaloosa, AL
- NPI 1598434417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1598868044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 WATERMELON RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735130",
"telephone_number": "205-366-9898",
"fax_number": "205-366-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 WATERMELON RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735130",
"telephone_number": "205-366-9898",
"fax_number": "205-366-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUREWELL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "CHANDRA",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-366-9898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "AL",
"license": "20650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529905210",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.