Active NPI
Randall L. Real, M.D.
- Otolaryngology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 13562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 510-83253 | Other | AL | BCBS |
| 000083253 | Medicaid | AL |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 80.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13562 | AL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | 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
- 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.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Specialist
- Talladega, AL
- NPI 1669436721
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.