Active NPI
Vinit Kumar Mahesh, M.D.
- Pediatric Pulmonology Physician
- Huntsville, AL
National Provider Identifier
1790750974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 15646
- Practice address
- 502 Governors Dr SW
Huntsville, AL 35801-5126 - Phone
- (256) 533-0833
- Fax
- (256) 533-0855
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 15646 | AL | Primary |
Addresses
Primary practice location
502 Governors Dr SW
Huntsville, AL 35801-5126
Mailing address
502 Governors Dr SW
Huntsville, AL 35801-5126
Phone (256) 533-0833
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051026590 | Other | AL | BLUE CROSS PROVIDER # |
| MA000026590 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15646 | AL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Past | Accepting new patients |
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.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1790750974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015126",
"telephone_number": "256-533-0833",
"fax_number": "256-533-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015126",
"telephone_number": "256-533-0833",
"fax_number": "256-533-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHESH",
"first_name": "VINIT",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "AL",
"license": "15646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "051026590",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MA000026590",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}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 Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.