Organization Active NPI

Midtown Medical Mobile LLC

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1851147045
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDTOWN MEDICAL MOBILE LLC
Practice address
2051 Airport Blvd
Mobile, AL 36606-1701
Phone
(251) 234-1625
Fax
(938) 766-2778
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Athira Upendran NairNPI 1447540950
Title
Ceo/ Med Director/ Co Owner
Phone
(251) 234-1625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Family Medicine Physician 207Q00000X Primary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

2051 Airport Blvd
Mobile, AL 36606-1701

Mailing address

2051 Airport Blvd
Mobile, AL 36606-1701
Phone (251) 234-1625

Other practice location 1

2055 Airport Blvd
Mobile, AL 36606-1701
Phone (251) 234-1625

Other names 1

  • Midtown Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250126000050 AL Part B Supplier - Clinic/Group Practice 3971031535 Receives reassigned benefits from 4 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

2055 Airport Blvd
Mobile, AL 36606
Phone (251) 234-1625

2051 Airport Blvd
Mobile, AL 36606
Phone (251) 234-1625

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1851147045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061701",
            "telephone_number": "251-234-1625",
            "fax_number": "938-766-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061701",
            "telephone_number": "251-234-1625",
            "fax_number": "938-766-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366061701",
            "country_code": "US",
            "telephone_number": "251-234-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDTOWN MEDICAL MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "ATHIRA",
        "authorized_official_middle_name": "UPENDRAN",
        "authorized_official_title_or_position": "CEO/ MED DIRECTOR/ CO OWNER",
        "authorized_official_telephone_number": "251-234-1625"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midtown Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.