Active NPI
Visavis Health Care Medical Group of Al LLC
- Family Medicine Physician
- Tuscumbia, AL
National Provider Identifier
1871374561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VISAVIS HEALTH CARE MEDICAL GROUP OF AL LLC
- Practice address
- 500 John Aldridge Dr
Tuscumbia, AL 35674-3000 - Phone
- (929) 491-7333
- NPI assigned
- Oct 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rekha Bhandari
- Title
- Owner
- Phone
- (212) 734-6621
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
500 John Aldridge Dr
Tuscumbia, AL 35674-3000
Mailing address
831 Bedford Ave Ste 530
Brooklyn, NY 11205-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231115000845 | AL | Part B Supplier - Clinic/Group Practice | 7214384114 |
Receives reassigned benefits from 8 practitioners Practice locations: Tuscumbia, AL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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": "1696896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708905600000",
"number": "1871374561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 BEDFORD AVE STE 530",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHN ALDRIDGE DR",
"city": "TUSCUMBIA",
"state": "AL",
"postal_code": "356743000",
"telephone_number": "929-491-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISAVIS HEALTH CARE MEDICAL GROUP OF AL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-10",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A",
"authorized_official_last_name": "BHANDARI",
"authorized_official_first_name": "REKHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-734-6621"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscumbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.