NPIMap

Individual provider Active NPI

Subir K Paul, M.D.

  • Nephrology Physician
  • Florence, AL
National Provider Identifier
1922006816
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
000019886 Issued in AL
Practice address
422 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone
(256) 766-1401
Fax
(256) 766-1402
NPI assigned
Jul 13, 2005
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000026605 AL
Nephrology Physician 207RN0300X 000019886 AL Primary

Addresses

Primary practice location

422 E Dr Hicks Blvd
Florence, AL 35630-5763

Mailing address

422 E Dr Hicks Blvd
Florence, AL 35630-5763
Phone (256) 766-1401

Other identifiers 4

IdentifierTypeStateIssuer
000026605MedicaidAL
110131573OtherSCMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
529400760MedicaidAL
CC6102OtherSCMEDICARE RAILROAD/PALMETTO GBA - GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000560 AL Practitioner - NephrologyPractitioner - Internal Medicine 8426183716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians
N Rao Boorgu MD PCGroup PAC ID 5294757084, 6 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5730
Phone (256) 766-1401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000026605ALMDInternal Medicine Physician
000019886ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Rao Boorgu MD PC Nephrology CurrentSince Aug 11, 2008 Accepting new patients
North Alabama Physicians Service, LLC Internal Medicine Past Accepting new patients
Rajesh Boorgu MD, LLC Nephrology PastSince Aug 15, 2021 Accepting new patients
Heart Health Center PC Past Accepting new patients
Good Samaritan Hospice USA Inc Past Accepting new patients

Locations

1840 Darby Dr
Florence, AL 35630
Phone (256) 764-2313

422 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 766-1401

422 E Dr Hicks Blvd
Ste A
Florence, AL 35630
Phone (205) 386-4087

712 State St
Muscle Shoals, AL 35661
Phone (256) 386-7028

14897 Highway 43
Russellville, AL 35653
Phone (256) 332-7044

1120 S Jackson Hwy
Ste 107
Sheffield, AL 35660
Phone (256) 381-8004

Interoperability endpoints

  • Direct secure messaging: subir.paul@skhc.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1922006816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305763",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SUBIR",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "000026605",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "000019886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026605",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL",
            "identifier": "110131573",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529400760",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD/PALMETTO GBA - GROUP",
            "identifier": "CC6102",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.