Active NPI
Rupa D Goolsby, M.D.
- Obstetrics & Gynecology Physician
- Birmingham, AL
National Provider Identifier
1104843192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 16758
- Practice address
- 800 Saint Vincents Dr
North Tower Suite 600
Birmingham, AL 35205-1620 - Phone
- (205) 271-1600
- Fax
- (205) 271-3167
- NPI assigned
- Jul 16, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 16758 | AL | Primary |
Addresses
Primary practice location
800 Saint Vincents Dr
North Tower Suite 600
Birmingham, AL 35205-1620
Mailing address
800 Saint Vincents Dr
Suite 600
Birmingham, AL 35205-1620
Phone (205) 271-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030059 | Medicaid | AL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110811000723 | AL | Practitioner - Obstetrics/Gynecology | 6507035375 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16758 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Associates of Alabama P C | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
800 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 271-1600
800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600
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.
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1346250537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1104843192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SAINT VINCENTS DR",
"address_2": "SUITE 600",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051620",
"telephone_number": "205-271-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SAINT VINCENTS DR",
"address_2": "NORTH TOWER SUITE 600",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352051620",
"telephone_number": "205-271-1600",
"fax_number": "205-271-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOLSBY",
"first_name": "RUPA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "16758",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000030059",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.