Individual provider Active NPI

Dimple Kumar Chanamolu

  • Urology Physician
  • Mobile, AL
National Provider Identifier
1992325724
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
L.6701SP Issued in AL
Practice address
3290 Dauphin St Ste 301
Mobile, AL 36606-4052
Phone
(251) 660-5930
Fax
(251) 660-5931
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X L.6701SP AL Primary
Urology Physician 208800000X 31956 WV
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3290 Dauphin St Ste 301
Mobile, AL 36606-4052

Mailing address

PO Box 21595
Belfast, ME 04915-4112
Phone (251) 318-2678

Other practice location 1

Deptarment of Urology University Of Miama Miller School
CRB 1120 NW 14th Street Suite 1551C
Miami, FL 33136
Phone (305) 243-3670

Other practice location 2

604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 865-5155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230202001051 WV Practitioner - Urology 6709258635 Reassigns benefits to 1 organization
I20260209000851 AL Practitioner - Urology 6709258635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

3290 Dauphin St
Mobile, AL 36606-4062
Phone (251) 660-5900

604 Ann St
Parkersburg, WV 26101-5122
Phone (304) 424-2400

Hospital & facility affiliations

  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.6701SPALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Jan 20, 2023 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Feb 1, 2026 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

21950 State Highway 181
Fairhope, AL 36532
Phone (251) 410-5437

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

3290 Dauphin St
Ste 301
Mobile, AL 36606
Phone (251) 660-5930

3290 Dauphin St
Mobile, AL 36606
Phone (251) 435-7460

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

705 Garfield Ave
Ste 400
Parkersburg, WV 26101
Phone (304) 424-2035

604 Ann St
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • Direct secure messaging: dchanamolu347459@direct.wvuhsdirect.com

Organizations & group practices 3

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 7

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1992325724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21595",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154112",
            "telephone_number": "251-318-2678",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST STE 301",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064052",
            "telephone_number": "251-660-5930",
            "fax_number": "251-660-5931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Deptarment of Urology University Of Miama Miller School",
            "address_2": "CRB 1120 NW 14th Street Suite 1551C",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-243-3670",
            "fax_number": "305-243-4653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 Ann St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015122",
            "country_code": "US",
            "telephone_number": "304-865-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANAMOLU",
        "first_name": "DIMPLE KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "L.6701SP",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "31956",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.