Kaitlin Christine Andrus, MD
Individual provider Active NPI Family Medicine Physician · Mobile, AL
NPI 1871345926 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1871345926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L.6372R (AL)
- Practice address
- 2451 University Hospital Dr RM 714
Mobile, AL 36617-2300 - Phone
- (251) 434-3475
- Fax
- (251) 434-3837
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241015003772 | AL | Order and Referring Only - Family Practice |
8921530916 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kaitlin.andrus.1@27270.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L.6372R | AL | Yes |
Addresses
Primary practice location
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Mailing address
2451 University Hospital Dr RM 714
Mobile, AL 36617-2300
Phone (251) 434-3475
Other providers in Mobile, AL
- Stephanie Dawn Andrews
- Stephen James Andrews
- Tara Childers Andrews
- Wanda Houze Andrews
- Lucas Constantinos Andrianopoulos
- Mary Michael Andrus
- Anesthesia Services Associates, PLLC.
- Anesthesia Services PC
- Anesthesia Solutions of Mobile, Inc.
- Anesthesiacare, P.C.
All providers in Mobile, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.