Individual provider Active NPI

Barry Kennedy Rayburn, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1083647200
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.21024 Issued in AL
Practice address
2700 10TH Ave S Ste 305
Birmingham, AL 35205-1248
Phone
(205) 939-7100
Fax
(205) 939-7100
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 0101272859 VA
Cardiovascular Disease Physician 207RC0000X MD.21024 AL Primary

Addresses

Primary practice location

2700 10TH Ave S Ste 305
Birmingham, AL 35205-1248

Mailing address

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 558-3484

Other practice location 1

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 930-2456

Other practice location 2

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-8870

Other practice location 3

7191 Cahaba Valley Rd Bldg 2
Birmingham, AL 35242-6443
Phone (205) 939-7100

Other identifiers 2

IdentifierTypeStateIssuer
E33965OtherALVIVA
41301OtherALHEALTHSPRING OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 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
I20100420001010 AL Practitioner - Cardiovascular Disease (Cardiology) 8426185653 Reassigns benefits to 1 organization
I20200203000496 AL Practitioner - Internal Medicine 8426185653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 930-2456

Hospital & facility affiliations

  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21024ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Mar 1, 2020 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2019 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Oct 1, 2017 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 1, 2019 Accepting new patients
Vincentian Physician Services LLC CurrentSince Jan 1, 2020 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Cardiovascular Disease Past Accepting new patients

Locations

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

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

2700 10th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 418-1200

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

430 Fieldstown Rd
Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

1870 Chace Dr
Ste 160
Hoover, AL 35244
Phone (205) 733-7110

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Ste 200A
Hoover, AL 35242
Phone (205) 324-8511

7191 Cahaba Valley Rd
Bldg 2
Hoover, AL 35242
Phone (205) 939-7100

Interoperability endpoints

  • Direct secure messaging: barry.rayburn.1@9069.direct.athenahealth.com

Organizations & group practices 7

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1083647200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-558-3484",
            "fax_number": "205-930-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 305",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "205-939-7100",
            "fax_number": "205-939-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Saint Vincents Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051601",
            "country_code": "US",
            "telephone_number": "205-930-2456",
            "fax_number": "205-930-2469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Gresham Dr",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7191 Cahaba Valley Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352426443",
            "country_code": "US",
            "telephone_number": "205-939-7100",
            "fax_number": "205-939-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "BARRY",
        "middle_name": "KENNEDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "VA",
            "license": "0101272859",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.21024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "E33965",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA",
            "identifier": "41301",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.