Individual provider Active NPI

Jorge Arturo Pino, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Birmingham, AL
National Provider Identifier
1013072461
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
07071 Issued in AL
Practice address
3525 Independence Dr
Birmingham, AL 35209-5709
Phone
(205) 971-2758
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 07071 AL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 07071 AL Primary

Addresses

Primary practice location

3525 Independence Dr
Birmingham, AL 35209-5709

Mailing address

3525 Independence Dr
Birmingham, AL 35209-5709
Phone (205) 971-2758

Other identifiers 2

IdentifierTypeStateIssuer
07071OtherALSTATE MEDICAL LICENCE
000012121MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jorge.pino.1@9954.direct.athenahealth.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000406 AL Practitioner - Internal MedicinePractitioner - Endocrinology 2163550237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Suite 200
Vestavia Hills, AL 35216-2805
Phone (205) 882-6990

3525 Independence Dr
Birmingham, AL 35209-5709
Phone (205) 971-3500

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07071ALMDEndocrinology, Diabetes & Metabolism Physician

Networks

  • FL PPO
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • bcbs alabama network 01B0
  • FL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO D-SNP
  • AL HMO D-SNP
  • MS PPO C-SNP
  • AL HMO
  • bcbs alabama network 01A0
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • MS PPO
  • bcbs alabama network 01I0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: jorge.pino.1@9954.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1013072461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095709",
            "telephone_number": "205-971-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095709",
            "telephone_number": "205-971-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "JORGE",
        "middle_name": "ARTURO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "07071",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "07071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENCE",
            "identifier": "07071",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012121",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.pino.1@9954.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3525 Independence Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352095709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.