Individual provider Active NPI

Victor K Jiminez, M.D.

  • Urology Physician
  • Huntsville, AL
National Provider Identifier
1013969039
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23966 Issued in AL
Practice address
4704 Whitesburg Dr S
Suite 100
Huntsville, AL 35802-1679
Phone
(256) 882-3605
Fax
(256) 882-9323
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23966 AL Primary

Addresses

Primary practice location

4704 Whitesburg Dr S
Suite 100
Huntsville, AL 35802-1679

Mailing address

4704 Whitesburg Dr S
Suite 100
Huntsville, AL 35802-1679
Phone (256) 882-3605

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
I20111117000538 AL Practitioner - Urology 8628242179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists PCGroup PAC ID 0941228670, 7 clinicians

Practice addresses (Care Compare)

4704 Whitesburg Dr
Ste100
Huntsville, AL 35802-1631
Phone (256) 882-3605

4704 Whitesburg Dr
Suite 100
Huntsville, AL 35802-4302

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
85.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists, PC Current Accepting new patients
Urology Specialists, PC Urology CurrentSince Jul 15, 2001 Accepting new patients

Locations

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

Networks

  • MS PPO D-SNP
  • MS PPO
  • FL PPO
  • MS PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: victorjiminez@urologyspecs.medalliesdirect.net

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 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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1013969039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR S",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021679",
            "telephone_number": "256-882-3605",
            "fax_number": "256-882-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 WHITESBURG DR S",
            "address_2": "SUITE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021679",
            "telephone_number": "256-882-3605",
            "fax_number": "256-882-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMINEZ",
        "first_name": "VICTOR",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "23966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.