Individual provider Active NPI

Vijayanarayana Rao Jampala, M.D.

  • Rheumatology Physician
  • Huntsville, AL
National Provider Identifier
1689688970
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
00026049 Issued in AL
Practice address
400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429
Phone
(256) 880-4077
Fax
(256) 880-5277
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 00026049 AL Primary

Addresses

Primary practice location

400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429

Mailing address

400 Whitesport Dr SW Ste 101
Huntsville, AL 35801-6429
Phone (256) 880-4077

Other practice location 1

2828 Highway 31 S Ste 108
Decatur, AL 35603-1538
Phone (256) 350-0600

Other identifiers 4

IdentifierTypeStateIssuer
051524363OtherALBLUECROSSBLUESHIELD
051555317MedicaidAL
051555317OtherALMEDICARE PTAN
051000363OtherALBLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041227000514 AL Practitioner - RheumatologyPractitioner - Internal Medicine 0840109724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Whitesport Dr SW
Suite 101
Huntsville, AL 35801-6429
Phone (256) 880-4077

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as individual
Quality
73.13
Improvement activities
40
Cost
81.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026049ALMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology and Arthritis Clinic, P.C Rheumatology CurrentSince Dec 15, 2004 Accepting new patients

Locations

2828 Highway 31 S
Ste 108
Decatur, AL 35603
Phone (256) 350-0600

400 Whitesport Dr SW
Ste 101
Huntsville, AL 35801
Phone (256) 880-4077

400 Whitesport Dr SW
Ste 104
Huntsville, AL 35801
Phone (256) 690-5052

Interoperability endpoints

  • Direct secure messaging: rheumatologyarthitisclinic.vijayjampala@130394.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1689688970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-880-4077",
            "fax_number": "256-880-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW STE 101",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016429",
            "telephone_number": "256-880-4077",
            "fax_number": "256-880-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Highway 31 S Ste 108",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356031538",
            "country_code": "US",
            "telephone_number": "256-350-0600",
            "fax_number": "256-350-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMPALA",
        "first_name": "VIJAYANARAYANA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00026049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "051524363",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051555317",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "051555317",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "051000363",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.