DR. JEGEN KANDASAMY M.D.
NPI 1811225097
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Jegen Kandasamy's NPI number?

The NPI number for Jegen Kandasamy is 1811225097. It was assigned to this individual provider in the NPPES registry on November 25, 2009.

Q: What is Jegen Kandasamy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jegen Kandasamy was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2009PECOS Enrolled

1700 6TH AVE S, WIC - SUITE 176F, BIRMINGHAM, AL 35233(205) 934-8793 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jegen Kandasamy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEGEN KANDASAMY M.D. (NPI 1811225097) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811225097

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JEGEN KANDASAMYCredential: M.D.

Location Address1700 6TH AVE S, WIC - SUITE 176FBirmingham, AL 35233-1802

Mailing Address1700 6th Ave S, 176f Suite 9380wBirmingham, AL 35233-1802 · (205) 934-4680

Phone(205) 934-8793

Sole ProprietorNo

Enumeration DateNovember 25, 2009

Last NPPES UpdateAugust 14, 2012

✔ NPI 1811225097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1700 6TH AVE S, Birmingham, AL 35233

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jegen Kandasamy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DREXELL H BOGGS M.D.

Radiology (Radiation Oncology)

1700 6TH AVE S, RM: 2253
BIRMINGHAM, AL 35233

Jefferson County (205) 975-9399

MADISON THOMAS HULKER WHNP

Nurse Practitioner (Women's Health)