NPIMap

Individual provider Active NPI

Gajapathiraju Chamarthi, M.D

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1902175649
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
45944 Issued in AL
Practice address
124 S University Blvd Ste a
Mobile, AL 36608-3078
Phone
(513) 435-0042
Fax
(251) 343-8383
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 45944 AL Primary
Nephrology Physician 207RN0300X ME139158 FL

Addresses

Primary practice location

124 S University Blvd Ste a
Mobile, AL 36608-3078

Mailing address

PO Box 100224
Gainesville, FL 32610-0224
Phone (352) 273-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230509000143 AL Practitioner - Nephrology 1557517398 Reassigns benefits to 1 organization
I20240809001181 MS Practitioner - Nephrology 1557517398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

919 Winter St
Lucedale, MS 39452-5767
Phone (251) 410-8272

Hospital & facility affiliations

  • FMC Thomasville Dialysis facility, Thomasville, AL, CCN 012580
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Mobile, P.a. CurrentSince Jul 1, 2023 Accepting new patients
Mobile Vascular Labs LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

215 Walker Springs Rd
Jackson, AL 36545
Phone (251) 246-6667

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272

Interoperability endpoints

  • Direct secure messaging: gchamarthi52964@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1902175649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100224",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100224",
            "telephone_number": "352-273-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S UNIVERSITY BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083078",
            "telephone_number": "513-435-0042",
            "fax_number": "251-343-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMARTHI",
        "first_name": "GAJAPATHIRAJU",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "45944",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME139158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.