Individual provider Active NPI

Jennifer L. Kiessling, M.D.

  • Cardiovascular Disease Physician
  • Huntsville, AL
National Provider Identifier
1013197649
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27997 Issued in AL
Practice address
4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1676
Phone
(256) 880-1050
Fax
(256) 213-4681
NPI assigned
Nov 12, 2007
Last updated
Sep 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27997 AL Primary

Addresses

Primary practice location

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1676

Mailing address

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1676
Phone (256) 880-1050

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
I20101005000124 AL Practitioner - Internal Medicine 7214129675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Cardiovascular Clinic, P. C.Group PAC ID 3476546003, 17 clinicians

Practice addresses (Care Compare)

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.58 of 100Reported as group
Quality
64.47
Improvement activities
40
Cost
75.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Dermatology and Skin Specialists, LLC CurrentSince Nov 1, 2021 Accepting new patients
Apex Cardiology, PC CurrentSince Oct 1, 2013 Accepting new patients
Huntsville Cardiovascular Clinic, P.C. PastSince Aug 8, 2014 Accepting new patients

Locations

2045 Cecil Ashburn Dr SE
Ste 201
Huntsville, AL 35802
Phone (256) 881-5874

Networks

  • TN PPO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • MS PPO
  • MS PPO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • MS PPO D-SNP
  • AL HMO D-SNP
  • FL PPO
  • FL HMO D-SNP
  • TN PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: jennifer.kiessling@huntscard.direct.medconnect-inc.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1013197649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021676",
            "telephone_number": "256-880-1050",
            "fax_number": "256-213-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021676",
            "telephone_number": "256-880-1050",
            "fax_number": "256-213-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESSLING",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "27997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.