Individual provider Active NPI

Rupa D Goolsby, M.D.

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1104843192
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16758 Issued in AL
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

Updated by the provider on Sep 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000030059MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000723 AL Practitioner - Obstetrics/Gynecology 6507035375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16758ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Alabama P C Obstetrics & Gynecology CurrentSince Nov 14, 1997 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.

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

Verify at the official NPI Registry.