Active NPI
Jonathan C Commander, M.D
- Internal Medicine Physician
- Opelika, AL
National Provider Identifier
1992894083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 13960
- Practice address
- 121 N 20TH St
#6
Opelika, AL 36801-5449 - Phone
- (334) 749-3385
- Fax
- (334) 742-9243
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13960 | AL | Primary |
Addresses
Primary practice location
121 N 20TH St
#6
Opelika, AL 36801-5449
Mailing address
121 N 20TH St
#6
Opelika, AL 36801-5449
Phone (334) 749-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000080091 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13960 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Lab. | Current | Accepting new patients |
Locations
121 N 20th St
Ste 6
Opelika, AL 36801
Phone (334) 749-3385
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.
-
- Internal Medicine Physician
- Opelika, AL
- NPI 1225108715
-
- Clinical Medical Laboratory
- Opelika, AL
- NPI 1861558041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1992894083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 N 20TH ST",
"address_2": "#6",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015449",
"telephone_number": "334-749-3385",
"fax_number": "334-742-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 20TH ST",
"address_2": "#6",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015449",
"telephone_number": "334-749-3385",
"fax_number": "334-742-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMMANDER",
"first_name": "JONATHAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "13960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000080091",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.