Individual provider Active NPI

Eric Alexander Poulos, M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1104270420
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43975 Issued in AL
Practice address
2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 61846 TN
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 43975 AL Primary

Addresses

Primary practice location

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other practice location 1

619 19th St S
Birmingham, AL 35249-1929
Phone (205) 731-9701

Other practice location 2

1161 21st Ave S
Nashville, TN 37232-1929
Phone (615) 343-2617

Other practice location 3

3601 The Vanderbilt Clinic
Nashville, TN 37232-1929
Phone (615) 322-3000

Other practice location 4

500 J Clyde Morris Blvd Fl 2
Newport News, VA 23601-1929
Phone (757) 594-3945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20210601000695 TN Practitioner - Diagnostic Radiology 8325447030 Reassigns benefits to 1 organization
I20220426000757 AL Practitioner - Diagnostic Radiology 8325447030 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Louisville School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of Hunstville PCGroup PAC ID 2567458359, 64 clinicians
Clearview Diagnostic Imaging, LLCGroup PAC ID 4486704111, 27 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (256) 713-0647

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

3601 Cci Dr NW
Huntsville, AL 35805-2606
Phone (256) 705-4294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
41.46

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43975ALMDDiagnostic Radiology Physician
61846TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology of Hunstville PC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Clearview Diagnostic Imaging, LLC Diagnostic Radiology CurrentSince Apr 15, 2023 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Bioimaging of Huntsville Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Sportsmed Orthopaedic Specialists CurrentSince Sep 1, 2022 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Sep 1, 2022 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2022 Accepting new patients
Insight Imaging, Inc Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Jul 1, 2024 Accepting new patients
Sportsmed Orthopaedic Specialists, PC Past Accepting new patients
Tuhc Radiology Group LLC Diagnostic Radiology PastSince Jul 1, 2021 Accepting new patients
Crestwood Healthcare LP Past Accepting new patients

Locations (25 of 34)

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

619 19th St S
Birmingham, AL 35249

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

1811 Beltline Rd SW
Decatur, AL 35601
Phone (256) 341-9300

1107 14th Ave SE
Ste G500
Decatur, AL 35601
Phone (256) 584-8093

180 Cox Creek Pkwy S
Ste C
Florence, AL 35630
Phone (256) 284-6061

1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

700 Airport Rd SW
Ste H
Huntsville, AL 35802
Phone (256) 429-4000

200 Sivley Rd SW
Huntsville, AL 35801

2006 Franklin St SE
Ste 200
Huntsville, AL 35801
Phone (256) 538-0457

910 Adams St SE
Ste 110
Huntsville, AL 35801
Phone (256) 265-7896

528 Madison St SE
Huntsville, AL 35801
Phone (205) 533-3200

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

185 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 489-1583

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

107 Governors Dr SW
Huntsville, AL 35801
Phone (256) 417-9986

3601 Cci Dr NW
Ste 20
Huntsville, AL 35805

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

115 Saint Clair Ave SE
Huntsville, AL 35801
Phone (256) 519-3650

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

1963 Memorial Pkwy SW
Ste 1
Huntsville, AL 35801
Phone (256) 265-2310

2003 Whitesburg Dr SE
#A
Huntsville, AL 35801
Phone (256) 536-3550

87 19th St W
Ste 300
Jasper, AL 35501
Phone (205) 221-3606

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1104270420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491929",
            "country_code": "US",
            "telephone_number": "205-731-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1161 21st Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372321929",
            "country_code": "US",
            "telephone_number": "615-343-2617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372321929",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 J Clyde Morris Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236011929",
            "country_code": "US",
            "telephone_number": "757-594-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POULOS",
        "first_name": "ERIC",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "61846",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "43975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.