Anita Gopal Unnithan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R-9151 Issued in IA

Practice address

3045 S National Ave Ste 110
Springfield, MO 65804-4268

Phone

(417) 885-0824

NPI assigned

May 29, 2011

Last updated

Nov 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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.

• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  NPD

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

{
    "created_epoch": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1740574490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044268",
            "telephone_number": "417-885-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044268",
            "telephone_number": "417-885-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNNITHAN",
        "first_name": "ANITA",
        "middle_name": "GOPAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-29",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "R-9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick A Ulam III, PHD, LP
• Jessica Ulbrich
• Alexander Edmund Underwood, MD
• United Seating and Mobility LLC (Numotion)
• Unity Home Health Services
• Lacey Uphaus, FNP
• Brian John Upton
• James Trey Upton
• Urban Eye Care (Vision Clinic Downtown)
• Stephanie Urich, RDN

• Pediatrics Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.