Individual provider Active NPI

Kirby J Plessala, M.D.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1134211147
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00016070 Issued in AL
Practice address
6701 Airport Blvd Ste B321
Mobile, AL 36608-6703
Phone
(251) 633-0793
Fax
(251) 633-0736
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X U9637 TX
Obstetrics & Gynecology Physician 207V00000X 00016070 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste B321
Mobile, AL 36608-6703

Mailing address

6701 Airport Blvd Ste B321
Mobile, AL 36608-6703
Phone (251) 633-0793

Other practice location 1

3610 N Josey Ln Ste 223
Carrollton, TX 75007-3150
Phone (307) 284-3227

Other identifiers 2

IdentifierTypeStateIssuer
000026865MedicaidAL
510-26865OtherALBCBS-AL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL, TX3 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
I20101020000054 AL Practitioner - Obstetrics/Gynecology 5698968949 Reassigns benefits to 2 organizations
I20240423001080 FL Practitioner - Obstetrics/Gynecology 5698968949 Reassigns benefits to 1 organization
I20240507000340 TX Practitioner - Obstetrics/Gynecology 5698968949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6701 Airport Blvd
Suite B229
Mobile, AL 36608-6703
Phone (251) 634-8124

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00016070ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Obstetrics and Gynecology PC Obstetrics & Gynecology CurrentSince Feb 14, 2020 Accepting new patients
Ovum Medical, LLC CurrentSince Mar 1, 2024 Accepting new patients
Plessala Gynecology & Fertility, PLLC Obstetrics & Gynecology CurrentSince Jan 2, 2023 Accepting new patients
Trusted Doctors LLC PastSince Feb 14, 2020 Accepting new patients

Locations

212 W Troy St
Ste B
Dothan, AL 36303
Phone (206) 716-5719

6701 Airport Blvd
Ste B321
Mobile, AL 36608
Phone (205) 633-0793

6701 Airport Blvd
Ste B229
Mobile, AL 36608
Phone (251) 633-0663

3610 N Josey Ln
Ste 223
Carrollton, TX 75007
Phone (307) 284-3227

Interoperability endpoints

  • Direct secure messaging: kplessala@mobgyn.gwaydirect.com

Organizations & group practices 4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1134211147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B321",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086703",
            "telephone_number": "251-633-0793",
            "fax_number": "251-633-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B321",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086703",
            "telephone_number": "251-633-0793",
            "fax_number": "251-633-0736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 N Josey Ln Ste 223",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750073150",
            "country_code": "US",
            "telephone_number": "307-284-3227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLESSALA",
        "first_name": "KIRBY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U9637",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00016070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000026865",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL NUMBER",
            "identifier": "510-26865",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.