Individual provider Active NPI

Anne Prater, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
National Provider Identifier
1093204059
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DO.2772 Issued in AL
Practice address
619 19TH Street S. University of Alabama at Birmingham
Birmingham, AL 35249
Phone
(205) 934-2373
Fax
(205) 975-5242
NPI assigned
May 5, 2018
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DO.2772 AL Primary

Addresses

Primary practice location

619 19TH Street S. University of Alabama at Birmingham
Birmingham, AL 35249

Mailing address

619 19TH Street S. University of Alabama at Birmingham
Birmingham, AL 35249
Phone (205) 934-2373

Other practice location 1

1250 E Marshall St # 980662
Richmond, VA 23298-5051
Phone (804) 827-0561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, WI2 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
I20220623001336 AL Practitioner - Pathology 3577810308 Reassigns benefits to 1 organization
I20230807001565 WI Practitioner - Pathology 3577810308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Pathologists SCGroup PAC ID 7113986563, 15 clinicians

Practice addresses (Care Compare)

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 961-5362

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2022 Accepting new patients
North Shore Pathologists SC Anatomic Pathology & Clinical Pathology CurrentSince Jul 17, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1093204059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-2373",
            "fax_number": "205-975-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-2373",
            "fax_number": "205-975-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St # 980662",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-827-0561",
            "fax_number": "804-827-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "DO.2772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.