DR. ANANTHASEKAR PONNAMBALAM M.D. NPI 1063459592

NPI Information

  • NPI: 1063459592
  • Provider Name: DR. ANANTHASEKAR PONNAMBALAM, M.D.
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1601 CENTER STREET
    SUITE 1S
    MOBILE, AL
    ZIP 36604
  • Phone: (251) 410-5437

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NPI Details

DR. Ananthasekar Ponnambalam, M.D. is a pediatric gastroenterology pediatrics in Mobile, AL. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Ananthasekar Ponnambalam, M.D. NPI is 1063459592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 CENTER STREET
SUITE 1S
MOBILE, AL
ZIP 36604-207
Phone: (251) 410-5437
Fax: (251) 434-3852

The NPI 1063459592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyMD424450PENNSYLVANIANo
22080P0206XPediatricsPediatric Gastroenterology28395ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1009913082MEDICAIDALABAMA
2510I100002MEDICARE PINALABAMA
351545807OTHERALABAMABCBS-1504 SPRINGHILL
407284861MEDICAIDMISSISSIPPI
5280297000MEDICAIDFLORIDA
6009913083MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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