Individual provider Active NPI

Michael Amir Engheta, D.O.

  • Interventional Cardiology Physician
  • Mobile, AL
National Provider Identifier
1922469147
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2984 Issued in AL
Practice address
6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone
(251) 607-9797
Fax
(251) 607-7696
NPI assigned
Mar 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S0872 TX
Cardiovascular Disease Physician 207RC0000X 2984 AL
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X 2984 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Mailing address

3106 Hickory Rd
Temple, TX 76502-1702
Phone (828) 489-1241

Other practice location 1

1901 Veterans Memorial Dr Bldg 163
Temple, TX 76504-7451
Phone (254) 743-0311

Other practice location 2

1720 Spring Hill Ave Ste 101
Mobile, AL 36604-1417
Phone (251) 607-9797

Other practice location 3

2401 S 31st St
Temple, TX 76508-9020
Phone (254) 724-2111

Other practice location 4

3715 Dauphin St Ste 1100
Mobile, AL 36608-1785
Phone (251) 607-9797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230423000034 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4385979889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6701 Airport Blvd
Suite D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2984ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients

Locations

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

1720 Spring Hill Ave
Ste 101
Mobile, AL 36604
Phone (251) 438-4600

3715 Dauphin St
Ste 1100
Mobile, AL 36608
Phone (251) 460-0078

Interoperability endpoints

  • Direct secure messaging: mengheta334084@direct.sw.org
  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: michaelengheta@cam.allscriptsdirect.net

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 4

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1922469147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 HICKORY RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021702",
            "telephone_number": "828-489-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Veterans Memorial Dr Bldg 163",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765047451",
            "country_code": "US",
            "telephone_number": "254-743-0311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Spring Hill Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041417",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765089020",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3715 Dauphin St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081785",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGHETA",
        "first_name": "MICHAEL",
        "middle_name": "AMIR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-15",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S0872",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "2984",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "2984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.