Individual provider Active NPI

Michaela Bylokova McDonald, MD

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1114532306
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47556 Issued in AL
Practice address
750 Morphy Ave
Fairhope, AL 36532-1812
Phone
(251) 279-1529
Fax
(251) 279-1192
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47556 AL Primary

Addresses

Primary practice location

750 Morphy Ave
Fairhope, AL 36532-1812

Mailing address

1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1366

Other identifiers 1

IdentifierTypeStateIssuer
0000OtherNO OTHER NUMBER

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
I20231129000154 AL Practitioner - Internal Medicine 1850749045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Health Hospitals IncGroup PAC ID 3375448491, 20 clinicians
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

188 Hospital Dr
Suite 402
Fairhope, AL 36532-2018
Phone (251) 279-1245

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289

Hospital & facility affiliations

  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47556ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Health Hospitals, Inc. Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Imc-Hospitalists LLC CurrentSince Jan 1, 2024 Accepting new patients
Gulf Health Hospitals, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients
Gulf Health Hospitals, Inc Past Accepting new patients

Locations

8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245

188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Organizations & group practices 8

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 2

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1114532306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041402",
            "telephone_number": "251-435-1366",
            "fax_number": "251-435-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-279-1529",
            "fax_number": "251-279-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLOKOVA MCDONALD",
        "first_name": "MICHAELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "47556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER NUMBER",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.