Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ambarish Mukund Athavale, MD

Individual provider Internal Medicine Physician · NPI 1255647145

Ambarish Mukund Athavale, MD is a Nephrology in San Diego, California. Qualified in 2002, 24 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9300 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 9350 Campus Point Dr, La Jolla, CA 92037-1300 — (800) 926-8273
  • 1900 W Harrison St, Chicago, IL 60612-3736 — (312) 864-6000

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 036-127463 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036-127463 (IL)

Record details

NPI number1255647145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2010
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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