NPIMap

Organization Active NPI

Urology Specialists, PC

  • Urology Physician
  • Huntsville, AL
National Provider Identifier
1003027079
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
00013315 Issued in AL
Legal business name
UROLOGY SPECIALISTS, PC
Practice address
4704 Whitesburg Drive Suite 100
Huntsville, AL 35802-1631
Phone
(256) 882-3605
Fax
(256) 882-9323
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Victor Keith Jiminez, M.D.NPI 1013969039
Title
M.D./President
Phone
(256) 882-3605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 00013315 AL Primary

Addresses

Primary practice location

4704 Whitesburg Drive Suite 100
Huntsville, AL 35802-1631

Mailing address

Urology Specialists, PC
4704 Whitesburg Dr. Suite 100
Huntsville, AL 35802
Phone (256) 882-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051110000572 AL Part B Supplier - Clinic/Group Practice 0941228670 Receives reassigned benefits from 9 practitioners
Practice locations: Huntsville, AL
O20230817000786 AL DME Supplier - Physician - Urology 0941228670 Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory
Tax ID family
Urology Specialists PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1015 Airport Rd SW
Ste 201
Huntsville, AL 35802
Phone (256) 353-0605

4704 Whitesburg Dr SW
Ste 100
Huntsville, AL 35802
Phone (256) 882-3605

1015 Airport Rd SW
Huntsville, AL 35802
Phone (205) 882-3605

Interoperability endpoints

  • Direct secure messaging: dustinwhitaker@urologyspecs.medalliesdirect.net
  • Direct secure messaging: michaelwood@urologyspecs.medalliesdirect.net
  • Direct secure messaging: victorjiminez@urologyspecs.medalliesdirect.net
  • Direct secure messaging: danielosula@urologyspecs.medalliesdirect.net
  • Direct secure messaging: kylegennaro@urologyspecs.medalliesdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1003027079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UROLOGY SPECIALISTS, PC",
            "address_2": "4704 WHITESBURG DR. SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35802",
            "telephone_number": "256-882-3603",
            "fax_number": "256-882-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DRIVE SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021631",
            "telephone_number": "256-882-3605",
            "fax_number": "256-882-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "JIMINEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "256-882-3605",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "00013315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.