Nitin Madhukar Kamble, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

87729 Issued in SC

Practice address

400 Northwood Dr
Centre, AL 35960-1023

Phone

(256) 927-4900

NPI assigned

May 2, 2010

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: nkamble807139@direct.hfhs.org
• Direct secure messaging: nkamble968533@direct.umm.edu

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2023.

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1811214737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601023",
            "telephone_number": "256-927-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBLE",
        "first_name": "NITIN",
        "middle_name": "MADHUKAR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-02",
        "last_updated": "2023-05-04",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "87729",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "87729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Solomon Hurwitz, MD
• Candice Wells Isaacs
• J & a Pharmacy Inc Centre
• Melissa Jenkins
• Lola Nixon Johnston, PHD, NCC, LPC
• William Munroe Kamens, MD
• M. Kirk Keener, D.C.
• Aimee Kilgo
• James Christian Lamousin, MD
• Valerie Sanchez Leonard, CRNP

• All providers in Centre, AL
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.