Individual provider Active NPI

Anmol Singh Mahal, M.D.

  • Gastroenterology Physician
  • Fremont, CA
National Provider Identifier
1609931526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A30923 Issued in CA
Practice address
39225 State St
Fremont, CA 94538-1437
Phone
(510) 794-1990
Fax
(510) 794-1341
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A30923 CA Primary

Addresses

Primary practice location

39225 State St
Fremont, CA 94538-1437

Mailing address

39225 State St
Fremont, CA 94538-1437
Phone (510) 794-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000789 CA Practitioner - Gastroenterology 6800949462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Fremont IncGroup PAC ID 4183777840, 3 clinicians

Practice addresses (Care Compare)

39225 State St
Fremont, CA 94538-1437
Phone (510) 794-1990

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy164
Upper gastrointestinal (GI) endoscopy for acid reflux105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30923CAMDPsychologist
A30923CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Fremont, Inc Gastroenterology CurrentSince Aug 1, 2009 Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

39225 State St
Fremont, CA 94538
Phone (510) 794-1990

Interoperability endpoints

  • Direct secure messaging: danmolmahal16922@hpmg.direct-ci.net

Organizations & group practices 4

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 1

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609931526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39225 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-794-1990",
            "fax_number": "510-794-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39225 STATE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381437",
            "telephone_number": "510-794-1990",
            "fax_number": "510-794-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAL",
        "first_name": "ANMOL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A30923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.