Individual provider Active NPI

Nancy E Pajaro, M.D.

  • Family Medicine Physician
  • Birmingham, AL
National Provider Identifier
1083713754
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16654 Issued in AL
Practice address
3240 Edwards Lake Pkwy
Suite 208
Birmingham, AL 35235-3117
Phone
(205) 661-9001
Fax
(256) 464-9154
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16654 AL Primary

Addresses

Primary practice location

3240 Edwards Lake Pkwy
Suite 208
Birmingham, AL 35235-3117

Mailing address

PO Box 381807
Birmingham, AL 35238-1807
Phone (205) 661-9001

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
I20050216000327 AL Practitioner - Family Practice 4082666284 Practice locations: Birmingham, AL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3240 Edwards Lake Pkwy
Birmingham, AL 35235-3117

3240 Edwards Lake Rd
Suite 208
Birmingham, AL 35235
Phone (205) 661-9001

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16654ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Medical Center, LLC Family Medicine Past Accepting new patients

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 3

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1083713754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381807",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352381807",
            "telephone_number": "205-661-9001",
            "fax_number": "256-464-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 EDWARDS LAKE PKWY",
            "address_2": "SUITE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353117",
            "telephone_number": "205-661-9001",
            "fax_number": "256-464-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJARO",
        "first_name": "NANCY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "16654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.