Individual provider Active NPI

Retna A Billano, M.D.

  • Procedural Dermatology Physician
  • Vestavia, AL
National Provider Identifier
1033208541
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
11134 Issued in AL
Practice address
4325 Dolly Ridge Road
Vestavia, AL 35243
Phone
(205) 591-2169
Fax
(205) 591-0815
NPI assigned
Oct 12, 2006
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 11134 AL Primary

Addresses

Primary practice location

4325 Dolly Ridge Road
Vestavia, AL 35243

Mailing address

4325 Dolly Ridge Road
Vestavia, AL 35243
Phone (205) 591-2169

Other identifiers 1

IdentifierTypeStateIssuer
51169838OtherALBCBS PROVIDER

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
I20101117001531 AL Practitioner - Dermatology 5193911006 Reassigns benefits to 1 organization
Practice locations: Vestavia, AL

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retna a Billano, LLCGroup PAC ID 9931403805, 2 clinicians

Practice addresses (Care Compare)

4325 Dolly Ridge Rd
Vestavia, AL 35243-5701
Phone (205) 591-2169

Merit-based Incentive Payment System (MIPS)

Final score
39.81 of 100Reported as individual
Quality
45.1
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions348
Removal or shaving of skin growth45
Skin biopsy105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11134ALMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology and Skin Care Center of Birmingham, P.C. Current Accepting new patients
Retna a Billano LLC CurrentSince Dec 20, 2015 Accepting new patients

Locations

4325 Dolly Ridge Rd
Vestavia, AL 35243
Phone (205) 591-2169

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1033208541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 DOLLY RIDGE ROAD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-591-2169",
            "fax_number": "205-591-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 DOLLY RIDGE ROAD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-591-2169",
            "fax_number": "205-591-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLANO",
        "first_name": "RETNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "11134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "51169838",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.