Individual provider Active NPI

Ryan Tulowitzki, DO

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1134488521
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO. 1687 Issued in AL
Practice address
124 S University Blvd Ste a
Mobile, AL 36608-3078
Phone
(251) 343-5004
NPI assigned
May 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO.1687 AL
Nephrology Physician 207RN0300X DO. 1687 AL Primary

Addresses

Primary practice location

124 S University Blvd Ste a
Mobile, AL 36608-3078

Mailing address

PO Box 850849
Mobile, AL 36685-0849
Phone (251) 343-5004

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
I20170317002163 AL Practitioner - NephrologyPractitioner - Internal Medicine 0547545386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians

Practice addresses (Care Compare)

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1687ALMDInternal Medicine Physician
DO. 1687ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Mobile, P.a. CurrentSince Apr 1, 2017 Accepting new patients

Locations

2505 Hand Ave
Bay Minette, AL 36507
Phone (251) 433-1180

215 Walker Springs Rd
Jackson, AL 36545
Phone (251) 246-6667

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

676 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3452

30230 Highway 43
Thomasville, AL 36784
Phone (334) 636-1411

Interoperability endpoints

  • Direct secure messaging: rtulowitzki26328@direct.acumenmd.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 6

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1134488521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850849",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850849",
            "telephone_number": "251-343-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S UNIVERSITY BLVD STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083078",
            "telephone_number": "251-343-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULOWITZKI",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "DO.1687",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO. 1687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.