Active NPI
Julian Mahaganasan, MD
- Specialist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 24516
- Practice address
- 50 Medical Park Dr E
St. Vincent'S East
Birmingham, AL 35235-3401 - Phone
- (205) 545-9530
- Fax
- (205) 545-9529
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 24516 | AL | Primary |
Addresses
Primary practice location
50 Medical Park Dr E
St. Vincent'S East
Birmingham, AL 35235-3401
Mailing address
2016 Stonegate TRL
Suite 112
Vestavia Hills, AL 35242-2260
Phone (205) 545-9530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051555550 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24516 | AL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kulturecity | Current | Accepting new patients | |
| Emergency Services of Montgomery PC | Current | Accepting new patients | |
| Hospital Medicine Associates LLC | Family Medicine | Past | Accepting new patients |
| Premier Medical | Past | Accepting new patients |
Locations
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262
- julian.maha@direct.baptistfirst.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Developmentally Disabled Services Day Training Agency
- Hoover, AL
- NPI 1952235525
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1851375885
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1942267117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 STONEGATE TRL",
"address_2": "SUITE 112",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352422260",
"telephone_number": "205-545-9530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEDICAL PARK DR E",
"address_2": "ST. VINCENT'S EAST",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353401",
"telephone_number": "205-545-9530",
"fax_number": "205-545-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAGANASAN",
"first_name": "JULIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "24516",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051555550",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.