Individual provider Active NPI

Heather Rene Waldrup, M.D.

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1043539554
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33063 Issued in AL
Practice address
3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404
Phone
(205) 595-8985
Fax
(205) 595-8987
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 33063 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404

Mailing address

3686 Grandview Pkwy Ste 400
Birmingham, AL 35243-3404
Phone (205) 595-8985

Other identifiers 1

IdentifierTypeStateIssuer
182477MedicaidAL

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
I20151229001448 AL Practitioner - General Surgery 5799929253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

803 N St E
Talladega, AL 35160-2529
Phone (256) 315-2252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33063ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Aug 9, 2024 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 9, 2024 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 400
Birmingham, AL 35243
Phone (205) 595-8985

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

803 North St E
Talladega, AL 35160
Phone (256) 315-2252

Interoperability endpoints

  • Direct secure messaging: hwaldrup11152@baptisthealthaldirect.org
  • Direct secure messaging: heatherwaldrup@asp.allscriptsdirect.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 1

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1043539554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-595-8985",
            "fax_number": "205-595-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433404",
            "telephone_number": "205-595-8985",
            "fax_number": "205-595-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRUP",
        "first_name": "HEATHER",
        "middle_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "33063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182477",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.