Active NPI
Annette Cosgrove, M.D.
- Pediatrics Physician
- Alabaster, AL
National Provider Identifier
1093820359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20665
- Practice address
- 1022 1St St N
Suite 102
Alabaster, AL 35007-8706 - Phone
- (205) 663-9550
- Fax
- (205) 620-0864
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20665 | AL | Primary |
Addresses
Primary practice location
1022 1St St N
Suite 102
Alabaster, AL 35007-8706
Mailing address
1022 1St St N
Suite 102
Alabaster, AL 35007-8706
Phone (205) 663-9550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-49285 | Other | BCBSAL | |
| 510-65560 | Other | BCBSAL | |
| 000127520 | Medicaid | AL | |
| 000111528 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20665 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Medical Center | Past | Accepting new patients | |
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- acosgrove19004@childrensofalabama.direct-ci.com
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Hueytown, AL
- NPI 1104903749
-
- Pediatrics Physician
- Hoover, AL
- NPI 1124105762
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1093820359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 1ST ST N",
"address_2": "SUITE 102",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078706",
"telephone_number": "205-663-9550",
"fax_number": "205-620-0864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 1ST ST N",
"address_2": "SUITE 102",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078706",
"telephone_number": "205-663-9550",
"fax_number": "205-620-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSGROVE",
"first_name": "ANNETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "20665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL",
"identifier": "510-49285",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL",
"identifier": "510-65560",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000127520",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000111528",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.