Individual provider Active NPI

Kathleen M Dupper, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1023184017
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.20222 Issued in AL
Practice address
2525 Oakwood Ave NW Ste a
Huntsville, AL 35810-4410
Phone
(256) 513-5013
Fax
(256) 484-5504
NPI assigned
Nov 28, 2006
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.20222 AL Primary

Addresses

Primary practice location

2525 Oakwood Ave NW Ste a
Huntsville, AL 35810-4410

Mailing address

PO Box 746063
Atlanta, GA 30374-6063
Phone (312) 733-9730

Other practice location 1

2422 Danville Rd SW
suite C
Decatur, AL 35603-4220
Phone (256) 340-1500

Other practice location 2

1687 Center Point Pkwy Ste 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

Other practice location 3

633 Tuscaloosa Ave SW
Birmingham, AL 35211-1637
Phone (205) 235-4003

Other practice location 4

3065 Dauphin St
Mobile, AL 36606-4040
Phone (251) 271-7017

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
I20050621001219 AL Practitioner - Family Practice 1456396324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Alabama, LLCGroup PAC ID 9133538432, 28 clinicians

Practice addresses (Care Compare)

1687 Ctr Point Pkwy
Suite 121
Birmingham, AL 35215-5525
Phone (205) 557-7022

2525 Oakwood Ave NW
Suite a
Huntsville, AL 35810-4410
Phone (256) 513-5013

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.20222ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kajo Medical PC Family Medicine CurrentSince Nov 20, 2015 Accepting new patients
Signify Health, LLC CurrentSince Jan 29, 2022 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Nova Physician Group PLLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

1687 Center Point Pkwy
Ste 121
Birmingham, AL 35215
Phone (205) 557-7022

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 314-5700

633 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 235-4003

2422 Danville Rd SW
Ste C
Decatur, AL 35603
Phone (256) 340-1500

2828 Highway 31 S
Ste 116
Decatur, AL 35603
Phone (256) 340-1500

2525 Oakwood Ave NW
Ste A
Huntsville, AL 35810
Phone (256) 513-5013

3065 Dauphin St
Mobile, AL 36606
Phone (251) 271-7017

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 4

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1023184017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746063",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746063",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 OAKWOOD AVE NW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358104410",
            "telephone_number": "256-513-5013",
            "fax_number": "256-484-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2422 Danville Rd SW",
            "address_2": "suite C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356034220",
            "country_code": "US",
            "telephone_number": "256-340-1500",
            "fax_number": "256-340-1566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1687 Center Point Pkwy Ste 121",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352155525",
            "country_code": "US",
            "telephone_number": "205-557-7022",
            "fax_number": "205-831-2849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "633 Tuscaloosa Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111637",
            "country_code": "US",
            "telephone_number": "205-235-4003",
            "fax_number": "205-941-8071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064040",
            "country_code": "US",
            "telephone_number": "251-271-7017",
            "fax_number": "251-220-5536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPPER",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.20222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.