Individual provider Active NPI

Ralph B Pfeiffer Jr., M.D.

  • Vascular Surgery Physician
  • Mobile, AL
National Provider Identifier
1063415339
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
00005778 Issued in AL
Practice address
171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone
(251) 432-0558
Fax
(251) 432-0554
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 00005778 AL Primary

Addresses

Primary practice location

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509

Mailing address

171 Mobile Infirmary Blvd
Mobile, AL 36607-3509
Phone (251) 432-0558

Other identifiers 1

IdentifierTypeStateIssuer
000030016MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111101000389 AL Practitioner - Vascular Surgery 0648244350 Reassigns benefits to 2 organizations
I20210421000352 MS Practitioner - Vascular Surgery 0648244350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Alabama School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Associates of South Alabama LLCGroup PAC ID 2961717244, 6 clinicians
Mobile Infirmary AssociationGroup PAC ID 3476456625, 8 clinicians

Practice addresses (Care Compare)

1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 410-8272

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-3511

919 Winter St
Lucedale, MS 39452-5767
Phone (251) 410-8272

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Evergreen Medical Center Hospital, Evergreen, AL, CCN 010148
  • Washington County Hospital Hospital, Chatom, AL, CCN 011300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00005778ALMDVascular Surgery Physician
5778ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Infirmary Association CurrentSince Aug 26, 2024 Accepting new patients
Mobile Infirmary Association CurrentSince Aug 26, 2024 Accepting new patients
Vascular Associates of South Alabama, LLC Vascular Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

98 Crestview Ave
Evergreen, AL 36401
Phone (251) 578-0238

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

16 Medical Center Dr
Monroeville, AL 36460
Phone (251) 575-3266

919 Winter St
Lucedale, MS 39452
Phone (251) 410-8272

Interoperability endpoints

  • Direct secure messaging: ralph.pfeiffer@vascmob.direct.medconnect-inc.com
  • Direct secure messaging: rpfeiffer26306@direct.acumenmd.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/evergre-84838805

Organizations & group practices 3

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 7

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1063415339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-432-0558",
            "fax_number": "251-432-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073509",
            "telephone_number": "251-432-0558",
            "fax_number": "251-432-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "RALPH",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "00005778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000030016",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.