Jesse Michael Corbello, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

30121 Issued in AL

Practice address

124 S University Blvd Ste a
Mobile, AL 36608-3078

Phone

(251) 343-5004

Fax

(251) 343-8383

NPI assigned

Jul 31, 2007

Last updated

May 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Nephrology

Education

Louisiana State University School of Medicine in Shreveport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Azalea City Dialysis facility, Mobile, AL, CCN 012552
• FMC Mobile Transitional Care and Home Therapies Dialysis facility, Mobile, AL, CCN 012719
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
• Springhill Medical Center Hospital, Mobile, AL, CCN 010144
• North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
• George Regional Health System Hospital, Lucedale, MS, CCN 250036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcorbellomd26259@direct.acumenmd.com

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.

• Nephrology Associates of Mobile, P.a.

  • Specialist
  • Mobile, AL
  • NPI 1861477507

  MS

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresenius Medical Care Mobile Area, LLC

  dba Fresenius Mobile Transitional Care and Home Therapies

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mobile, AL
  • NPI 1588315808

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Mobile Area, LLC

  dba Fresenius Kidney Care Azalea City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mobile, AL
  • NPI 1982212601

  Dialysis facility

  Care Compare affiliation Name & address match
• Gulf Health Hospitals, Inc

  dba North Baldwin Family Medicine

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1154703726

  Hospital

  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  dba North Baldwin Infirmary

  • General Acute Care Hospital
  • Bay Minette, AL
  • NPI 1134164924
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  dba Premier Women's Health

  • Gynecology Physician
  • Bay Minette, AL
  • NPI 1760717870

  Hospital

  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Springhill Hospitals, Inc

  dba Springhill Memorial Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation
• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  Care Compare affiliation

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1063602449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PINE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082413",
            "telephone_number": "337-352-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S UNIVERSITY BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083078",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBELLO",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "30121",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.200276",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "30121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-06690-7",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51108316",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Copeland, LICSW
• Anna Faith Copeland
• Lydia Copeland, DPT
• Stephanie Copeland
• Stephen Jude Coppejans, D.D,S
• Steve Mario Cordina, M.D.
• Aaron J Cordle, CRNA
• Core ABA Services, Inc.
• Christiana Corfee, LMSW
• Natalie Cristin Corgill, CRNA

• Nephrology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.