Active NPI
Jose Rodolfo Vargas, M.D.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1003971441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 07230
- Practice address
- 2022 Brookwood Medical Ctr Dr
Suite 307
Birmingham, AL 35209-6808 - Phone
- (205) 877-2960
- Fax
- (205) 877-2243
- NPI assigned
- Dec 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 07230 | AL | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 07230 | AL |
Addresses
Primary practice location
2022 Brookwood Medical Ctr Dr
Suite 307
Birmingham, AL 35209-6808
Mailing address
2022 Brookwood Medical Ctr Dr
Suite 307
Birmingham, AL 35209-6808
Phone (205) 877-2960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000007353 | Medicaid | AL | |
| 07230 | Other | AL | MEDICAL LICENCE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080917000691 | AL | Practitioner - Endocrinology | 3577630532 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07230 | AL | MD | Endocrinology, Diabetes & Metabolism Physician |
Networks
- bcbs alabama network 01G0
- bcbs alabama network 01B0
- bcbs alabama network 01E0
- bcbs alabama network 01C0
- bcbs alabama network 01H0
- bcbs alabama network 01I0
Interoperability endpoints
- rodolfovargas@shcpc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003971441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096808",
"telephone_number": "205-877-2960",
"fax_number": "205-877-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2022 BROOKWOOD MEDICAL CTR DR",
"address_2": "SUITE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352096808",
"telephone_number": "205-877-2960",
"fax_number": "205-877-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "JOSE",
"middle_name": "RODOLFO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "07230",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AL",
"license": "07230",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000007353",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "07230",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.