Individual provider Active NPI

Felix R Dulanto, MD

  • Family Medicine Physician
  • Trussville, AL
National Provider Identifier
1043479124
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29733 Issued in AL
Practice address
7625 Old Springville Rd
Trussville, AL 35173-1739
Phone
(205) 879-8294
Fax
(205) 879-8259
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 29733 AL Primary

Addresses

Primary practice location

7625 Old Springville Rd
Trussville, AL 35173-1739

Mailing address

PO Box 530604
Birmingham, AL 35253-0604
Phone (205) 879-8294

Other identifiers 1

IdentifierTypeStateIssuer
131837MedicaidAL

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
I20090918000505 AL Practitioner - Family Practice 5092861864 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Help 280 LLCGroup PAC ID 6800849860, 14 clinicians

Practice addresses (Care Compare)

4600 Hwy 280
Birmingham, AL 35242-5185
Phone (205) 408-1231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29733ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama AIDS Outreach Inc CurrentSince Apr 14, 2024 Accepting new patients
Med Help PC CurrentSince Feb 1, 2025 Accepting new patients
Med Help 280 LLC CurrentSince Feb 1, 2025 Accepting new patients
Southview Medical Clinic LLC CurrentSince Dec 15, 2024 Accepting new patients
Premier Medical Clinic LLC CurrentSince Dec 15, 2024 Accepting new patients
Medhelp Shelby, LLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
West Alabama AIDS Outreach Inc Current Accepting new patients
Horizon Medical Clinic LLC PastSince Mar 7, 2021 Accepting new patients

Locations

1 W Lakeshore Dr
Ste 100
Birmingham, AL 35209
Phone (205) 547-3996

4600 Highway 280
Birmingham, AL 35242
Phone (205) 408-1231

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

2900 McGehee Rd
Montgomery, AL 36111
Phone (334) 280-3349

3170 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

3143 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-2270

506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234

2703 7th St
Tuscaloosa, AL 35401
Phone (205) 723-2389

Interoperability endpoints

  • Direct secure messaging: felix.dulanto.3@17217.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1043479124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530604",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352530604",
            "telephone_number": "205-879-8294",
            "fax_number": "205-879-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 OLD SPRINGVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731739",
            "telephone_number": "205-879-8294",
            "fax_number": "205-879-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANTO",
        "first_name": "FELIX",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "29733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131837",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

Verify at the official NPI Registry.