Individual provider Active NPI

Lily Gutnik, MD MPH

  • Surgical Oncology Physician
  • Birmingham, AL
National Provider Identifier
1053690099
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
43083 Issued in AL
Practice address
1808 7TH Ave S Bdb515
Birmingham, AL 35294-2401
Phone
(205) 975-5477
Fax
(205) 975-5971
NPI assigned
Aug 9, 2011
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 43083 AL Primary

Addresses

Primary practice location

1808 7TH Ave S Bdb515
Birmingham, AL 35294-2401

Mailing address

1808 7TH Ave S # Bdb515
Birmingham, AL 35233-1912
Phone (646) 289-2524

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
I20220107001494 AL Practitioner - General Surgery 1355648429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Hospital CorporationGroup PAC ID 6406754431, 48 clinicians

Practice addresses (Care Compare)

3520 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 414-6210

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.09 of 100Reported as group
Quality
52.05
Promoting interoperability
80
Improvement activities
40
Cost
68.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43083ALMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients
Russell Hospital Corporation Multi-Specialty CurrentSince Dec 17, 2021 Accepting new patients
Cooper Green Mercy Health Services Authority an Affiliate of Uab CurrentSince Sep 1, 2025 Accepting new patients
Russell Hospital Corporation Multi-Specialty CurrentSince Dec 17, 2021 Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

1808 7th Ave S
#515
Birmingham, AL 35233
Phone (205) 975-5477

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

619 19th St S
Birmingham, AL 35249

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lgutnik@direct.uabmedicine.org

Organizations & group practices 5

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1053690099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 7TH AVE S # BDB515",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331912",
            "telephone_number": "646-289-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 7TH AVE S BDB515",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352942401",
            "telephone_number": "205-975-5477",
            "fax_number": "205-975-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTNIK",
        "first_name": "LILY",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "AL",
            "license": "43083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.