Individual provider Active NPI

Nicholas Allen Deebel, MD

  • Urology Physician
  • Mobile, AL
National Provider Identifier
1114480456
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
53697 Issued in AL
Practice address
3290 Dauphin St
Mobile, AL 36606-4062
Phone
(251) 660-5930
Fax
(251) 660-5931
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 53697 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3290 Dauphin St
Mobile, AL 36606-4062

Mailing address

PO Box 36258
Belfast, ME 04915-1204
Phone (251) 243-4511

Other practice location 1

218 Gatewood Ave
High Point, NC 27262-4877
Phone (336) 878-6511

Other practice location 2

140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 716-4131

Other practice location 3

1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-9601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20241021002243 NC Practitioner - Urology 2062748445 Reassigns benefits to 2 organizations
I20251204000750 IL Practitioner - Urology 2062748445 Reassigns benefits to 1 organization
I20260625003516 AL Practitioner - Urology 2062748445

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 N St Clair
150 Dept of Urology
Chicago, IL 60611-5975
Phone (312) 695-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53697ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2025 Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Oct 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 1, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 1, 2024 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

675 N Saint Clair St
Ste 20-150
Chicago, IL 60611
Phone (312) 695-8146

800 N Westmoreland Rd
Ste 100
Lake Forest, IL 60045
Phone (847) 535-6083

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

218 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2030

600 N Lindsay St
High Point, NC 27262
Phone (336) 878-6068

1907 S Hawthorne Rd
Winston Salem, NC 27103

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

140 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 716-4131

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1114480456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36258",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151204",
            "telephone_number": "251-243-4511",
            "fax_number": "251-405-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064062",
            "telephone_number": "251-660-5930",
            "fax_number": "251-660-5931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Gatewood Ave",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624877",
            "country_code": "US",
            "telephone_number": "336-878-6511",
            "fax_number": "336-878-6512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031522",
            "country_code": "US",
            "telephone_number": "336-716-4131",
            "fax_number": "336-713-0328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-9601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEBEL",
        "first_name": "NICHOLAS",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "53697",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.