Sijay Abongwa, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Birmingham, AL
NPI 1104520444 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1104520444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 625 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4696
- NPI assigned
- Mar 29, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807003983 | AL | Order and Referring Only - Anesthesiology |
5799146775 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
625 19TH St S
Birmingham, AL 35233-1900
Mailing address
625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-4696
Other names
- Sijules Abongwa
Other providers in Birmingham, AL
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- Hester Guy Able III
- Ablossom of Faith Home Healthcare LLC
- Eric Abney
- Ramzi V. Abou Arraj
- Amr Abou Shieshaa
- Mackenzie Nettlow Abraham
- Peter Abraham
- Abrams Psychiatry & Wellness
All providers in Birmingham, AL · Student in an Organized Health Care Education/Training Program in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.