Rupak Mahendhar, M.B.B.S

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

45955 Issued in AL

Practice address

2731 Martin Luther King Blvd
Tuscaloosa, AL 35401-5235

Phone

(205) 349-3250

NPI assigned

Jun 9, 2020

Reactivated

Mar 8, 2022

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Whatley Health Services Inc

  dba Maude L. Whatley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Tuscaloosa, AL
  • NPI 1063422756
  Medicare reassignment
• Whatley Health Services, Inc.

  dba Aliceville Student Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Aliceville, AL
  • NPI 1578014064
  NPD (past)

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1932724549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ADDISON DR",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350405643",
            "telephone_number": "917-655-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 MARTIN LUTHER KING BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354015235",
            "telephone_number": "205-349-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHENDHAR",
        "first_name": "RUPAK",
        "name_prefix": "Mr.",
        "credential": "M.B.B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "45955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Maddox, LMFT
• Chasity Tranae Madison, SOCIAL WORKER
• Meredith Madison
• Aretha Rena Mahan, AGPCNP
• Ann F Mahaney-Price, NP
• Marwan Mahmoud, DO
• Joseph E Maio, PH.D.
• Deborah A Maisel, MD
• Lee Hale Mallory, PHD
• Ashley Grissom Malone, MSW, LCSW

• Pediatrics Physician in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.