Individual provider Active NPI

Randall L. Real, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1144237348
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
13562 Issued in AL
Practice address
832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone
(205) 206-8471
Fax
(205) 206-8300
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 13562 AL Primary

Addresses

Primary practice location

832 Princeton Ave SW
Birmingham, AL 35211-1320

Mailing address

PO Box 12366
Birmingham, AL 35202-2366
Phone (205) 780-7101

Other practice location 1

833 Princeton Ave SW Ste 200B
Birmingham, AL 35211-1302
Phone (205) 783-7421

Other identifiers 2

IdentifierTypeStateIssuer
510-83253OtherALBCBS
000083253MedicaidAL

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
I20071030000161 AL Practitioner - Otolaryngology 2365539988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Alabama School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-2872

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 783-7970

833 Princeton Ave SW
Birmingham, AL 35211-1321

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux11
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13562ALMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Sep 25, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 25, 2019 Accepting new patients

Locations

833 Princeton Ave SW
Ste 200B
Birmingham, AL 35211
Phone (205) 781-3752

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

Interoperability endpoints

  • Direct secure messaging: rreal1809@baptisthealthaldirect.org

Organizations & group practices 2

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 1

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1144237348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111320",
            "telephone_number": "205-206-8471",
            "fax_number": "205-206-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Princeton Ave SW Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111302",
            "country_code": "US",
            "telephone_number": "205-783-7421",
            "fax_number": "205-783-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAL",
        "first_name": "RANDALL",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "13562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-83253",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000083253",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.