Organization Active NPI

Valley Institute of Primary Medical Care of Alabama, LLC

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1154066256
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALLEY INSTITUTE OF PRIMARY MEDICAL CARE OF ALABAMA, LLC
Practice address
2828 Highway 31 S Ste 104
Decatur, AL 35603-1538
Phone
(915) 227-1977
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Raphael Kobina Quansah, MDNPI 1871856872
Title
Co-Owner
Phone
(915) 227-4478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2828 Highway 31 S Ste 104
Decatur, AL 35603-1538

Mailing address

241 Mill Walk CT
Madison, AL 35758-1565
Phone (915) 227-1977

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL drpaduku@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629003360 AL Part B Supplier - Clinic/Group Practice 4587044060 Receives reassigned benefits from 4 practitioners
Practice locations: Decatur, AL

National Provider Directory

National Provider Directory
Tax ID family
Valley Institute of Primary Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1154066256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 MILL WALK CT",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357581565",
            "telephone_number": "915-227-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 104",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "915-227-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INSTITUTE OF PRIMARY MEDICAL CARE OF ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "QUANSAH",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "KOBINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "915-227-4478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "drpaduku@gmail.com",
            "affiliation": "N",
            "endpointDescription": "same",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2828 Highway 31 S Ste 104",
            "city": "Decatur",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356031538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.