Individual provider Active NPI

Nicholas G. Echemendia, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1144583436
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35131 Issued in AL
Practice address
3536 Vann Rd Ste B
Birmingham, AL 35235-3207
Phone
(205) 838-3800
Fax
(865) 305-8894
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35131 AL Primary

Addresses

Primary practice location

3536 Vann Rd Ste B
Birmingham, AL 35235-3207

Mailing address

3536 Vann Rd Ste B
Birmingham, AL 35235-3207
Phone (205) 702-6602

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
I20160718000351 AL Practitioner - Internal Medicine 9133356140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians
Alabama Internal Medicine PCGroup PAC ID 3577508084, 3 clinicians

Practice addresses (Care Compare)

2050 Gadsden Hwy
Suite 104
Birmingham, AL 35235-3260
Phone (205) 655-7231

3536 Vann Rd
Suite B
Birmingham, AL 35235-3207
Phone (205) 838-3200

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Alabama Internal Medicine PC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients

Locations

48 Medical Park Dr E
Ste 356
Birmingham, AL 35235
Phone (205) 702-6602

3536 Vann Rd
Ste B
Birmingham, AL 35235
Phone (205) 838-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGGBA/Endpoint/IAGGBA
  • Direct secure messaging: nechemendia55019@direct.metrohealth.org

Organizations & group practices 3

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 4

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1144583436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "205-702-6602",
            "fax_number": "888-206-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "205-838-3800",
            "fax_number": "865-305-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEMENDIA",
        "first_name": "NICHOLAS",
        "middle_name": "G.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2024-06-20",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "35131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.