NPIMap

Organization Active NPI

Alabama Urology and Robotics Center

  • Urology Physician
  • Decatur, AL
National Provider Identifier
1114138104
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20057 Issued in AL
Legal business name
ALABAMA UROLOGY AND ROBOTICS CENTER
Practice address
1210 14TH Avenue South East
Decatur, AL 35601
Phone
(256) 353-0605
Fax
(256) 353-0618
NPI assigned
May 24, 2007
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Sergey Ananyev, MDNPI 1366645459
Title
MD
Phone
(256) 353-0605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20057 AL Primary

Addresses

Primary practice location

1210 14TH Avenue South East
Decatur, AL 35601

Mailing address

1210 14TH Ave SE
Decatur, AL 35601-4313
Phone (256) 353-0605

Other names 1

  • Urology Specialists of Decatur Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000312 AL Part B Supplier - Clinic/Group Practice 7214961481 Receives reassigned benefits from 6 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory

Locations

1107 14th Ave SE
Ste G200
Decatur, AL 35601
Phone (256) 353-0605

1210 14th Ave SE
Decatur, AL 35601
Phone (256) 353-0605

460 Lanier Rd
Madison, AL 35758
Phone (205) 558-3200

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1540

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1114138104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014313",
            "telephone_number": "256-353-0605",
            "fax_number": "256-353-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 14TH AVENUE SOUTH EAST",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-353-0605",
            "fax_number": "256-353-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA UROLOGY AND ROBOTICS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "ANANYEV",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-353-0605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "20057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Specialists of Decatur",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Urology Specialists of Decatur",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.