Individual provider Active NPI

Mark Joseph Richman, MD

  • Internal Medicine Physician
  • Adamsville, AL
National Provider Identifier
1124000963
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18496 Issued in AL
Practice address
3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2261
Phone
(205) 674-1222
Fax
(205) 674-1230
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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 18496 AL Primary

Addresses

Primary practice location

3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2261

Mailing address

3915 Veterans Memorial Dr
Suite 106
Adamsville, AL 35005-2261
Phone (205) 674-9395

Other identifiers 2

IdentifierTypeStateIssuer
051502676MedicaidAL
110241652OtherALRAILROAD MEDICARE

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
I20101026000267 AL Practitioner - Internal Medicine 4183817893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Birmingham, AL, CCN 017054
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18496ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC Internal Medicine CurrentSince Aug 11, 2020 Accepting new patients

Locations

3915 Veterans Memorial Dr
Ste 106
Adamsville, AL 35005
Phone (205) 674-1222

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: mark.richman.1@15135.direct.athenahealth.com

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.

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1124000963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 VETERANS MEMORIAL DR",
            "address_2": "SUITE 106",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052261",
            "telephone_number": "205-674-9395",
            "fax_number": "205-674-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 VETERANS MEMORIAL DR",
            "address_2": "SUITE 106",
            "city": "ADAMSVILLE",
            "state": "AL",
            "postal_code": "350052261",
            "telephone_number": "205-674-1222",
            "fax_number": "205-674-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMAN",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051502676",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110241652",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, AL

Sources for this page

Verify at the official NPI Registry.