Individual provider Active NPI

Edgar Friedrich Prasthofer, MD

  • Medical Oncology Physician
  • Tuscaloosa, AL
National Provider Identifier
1083677413
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD.9260 Issued in AL
Practice address
1410 McFarland Blvd N
Tuscaloosa, AL 35406-2459
Phone
(205) 345-8208
Fax
(205) 345-8209
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 42668 CO
Hematology (Internal Medicine) Physician 207RH0000X 35132100 OH
Hematology & Oncology Physician 207RH0003X 9511470-1205 UT
Medical Oncology Physician 207RX0202X 9511470-1205 UT
Medical Oncology Physician 207RX0202X MD.9260 AL Primary

Addresses

Primary practice location

1410 McFarland Blvd N
Tuscaloosa, AL 35406-2459

Mailing address

509 Energy Center Blvd Ste 804
Northport, AL 35473-2798
Phone (205) 366-9740

Other practice location 1

171 Carraway Dr
Winfield, AL 35594-5067
Phone (205) 487-4405

Other identifiers 1

IdentifierTypeStateIssuer
0237183MedicaidOH

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
I20230313002220 AL Practitioner - Medical OncologyPractitioner - Hematology 5092702241 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
University of Alabama School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Physician Network, P.C.Group PAC ID 0840337721, 46 clinicians

Practice addresses (Care Compare)

1410 McFarland Blvd N
Tuscaloosa, AL 35406-2209
Phone (205) 345-8208

Hospital & facility affiliations

  • Vaughan Regional Medical Center Parkway Campus Hospital, Selma, AL, CCN 010118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42668COMDSpecialist
35132100OHMDHematology (Internal Medicine) Physician
MD.9260ALMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Specialties, P.C. Hematology & Oncology CurrentSince Jan 16, 2023 Accepting new patients
Southeast Physician Network, P.C. Hematology & Oncology CurrentSince Jan 1, 2025 Accepting new patients
Alabama Cancer Care, LLC Hematology & Oncology CurrentSince Jan 1, 2025 Accepting new patients
Southeast Physician Network, P.C. Hematology & Oncology CurrentSince Jan 1, 2025 Accepting new patients
Michael T Parra MD PC Specialist Past Accepting new patients

Locations

1608 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 244-4150

201 Sivley Rd SW
Ste 201
Huntsville, AL 35801
Phone (256) 539-3824

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

509 Energy Center Blvd
Ste 804
Northport, AL 35473
Phone (205) 345-9088

1410 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-8208

171 Carraway Dr
Winfield, AL 35594
Phone (205) 487-4405

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01C0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0

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 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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1083677413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 ENERGY CENTER BLVD STE 804",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732798",
            "telephone_number": "205-366-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062459",
            "telephone_number": "205-345-8208",
            "fax_number": "205-345-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Carraway Dr",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945067",
            "country_code": "US",
            "telephone_number": "205-487-4405",
            "fax_number": "205-487-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASTHOFER",
        "first_name": "EDGAR",
        "middle_name": "FRIEDRICH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "42668",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "OH",
            "license": "35132100",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "9511470-1205",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "UT",
            "license": "9511470-1205",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AL",
            "license": "MD.9260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.