Active NPI
Kirby J Plessala, M.D.
- Obstetrics & Gynecology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 00016070
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000026865 | Medicaid | AL | |
| 510-26865 | Other | AL | BCBS-AL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00016070 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Obstetrics and Gynecology PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ovum Medical, LLC | Current | Accepting new patients | |
| Plessala Gynecology & Fertility, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Trusted Doctors LLC | Past | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Mobile, AL
- NPI 1043929672
-
- Obstetrics & Gynecology Physician
- Mobile, AL
- NPI 1417063637
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.