Individual provider Active NPI

Parag Ashok Mahatekar, M.D.

  • Family Medicine Physician
  • Semmes, AL
National Provider Identifier
1962458984
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23280 Issued in AL
Practice address
7943 Moffett Rd
Semmes, AL 36575
Phone
(251) 633-0123
Fax
(251) 445-3722
NPI assigned
May 25, 2006
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23280 AL
Family Medicine Physician 207Q00000X 23280 AL Primary

Addresses

Primary practice location

7943 Moffett Rd
Semmes, AL 36575

Mailing address

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

Other practice location 1

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 990-1150

Other identifiers 1

IdentifierTypeStateIssuer
000094929559400060MedicaidAL

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
I20081020000607 AL Practitioner - Emergency Medicine 3577516715 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23280ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Jul 3, 2000 Accepting new patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Gmuc of Saraland Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Gmuc of Springhill LLC Family Medicine Current Accepting new patients
Greater Mobile Urgent Care Family Medicine Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1962458984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7943 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "365755409",
            "telephone_number": "251-633-0123",
            "fax_number": "251-445-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7943 MOFFETT RD",
            "city": "SEMMES",
            "state": "AL",
            "postal_code": "36575",
            "telephone_number": "251-633-0123",
            "fax_number": "251-445-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Morphy Ave",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365321812",
            "country_code": "US",
            "telephone_number": "251-990-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHATEKAR",
        "first_name": "PARAG",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "23280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000094929559400060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Semmes, AL

Sources for this page

Verify at the official NPI Registry.