Individual provider Active NPI

Alexander C Whitley, MD PHD

  • Radiation Oncology Physician
  • Montgomery, AL
National Provider Identifier
1063648509
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
30720 Issued in AL
Practice address
4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 395-2200
Fax
(334) 395-2290
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 30720 AL Primary

Addresses

Primary practice location

4143 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4143 Carmichael Road
Montgomery, AL 36106-2801
Phone (334) 395-2200

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
I20140822000589 AL Practitioner - Radiation Oncology 3173769841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Alabama Radiation OncologyGroup PAC ID 0345404471, 4 clinicians

Practice addresses (Care Compare)

4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 395-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.64 of 100Reported as individual
Quality
85.29
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Alabama Radiation Oncology CurrentSince Aug 1, 2014 Accepting new patients

Locations

4143 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

585 Jasmine Trl
Prattville, AL 36066
Phone (334) 395-2200

Organizations & group practices 1

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 2

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1063648509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 CARMICHAEL ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062801",
            "telephone_number": "334-395-2200",
            "fax_number": "334-395-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-395-2200",
            "fax_number": "334-395-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "ALEXANDER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "30720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.