NPIMap

Organization Active NPI

University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
National Provider Identifier
1154435824
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11831 Issued in AL
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice address
619 19TH St S
Birmingham, AL 35249-0001
Phone
(205) 934-6249
Fax
(205) 975-9838
NPI assigned
Aug 18, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Mr. Reid Jones
Title
Coo Uab Health System
Phone
(205) 731-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11831 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-0001

Mailing address

619 19TH St S
Birmingham, AL 35249-0001
Phone (205) 934-6249

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100426000396 AL Part A Provider - Hospital 3779487970 1 other NPI on this enrollment
Practice locations: Bessemer, AL; Birmingham, AL; Gardendale, AL; Leeds, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154435824. Details of each certification follow.

Hospital certification: CCN 010033

Legal name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Doing business as
UNIVERSITY OF ALABAMA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 4, 2001
Beds
1,157
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
619 19TH St S
Birmingham, AL 35249-1900
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
University of Alabama HospitalCCN 010033 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Uab Selma Family Medicine48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

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

View all 47

Locations

500 22nd St S
Ste 500
Birmingham, AL 35233

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lou Baverso Individual Corporate DirectorChief Operating Officer Sep 18, 2023
Susan C Jennings Individual W-2 Managing EmployeeCfo Uab Health System Jun 1, 2006
University at Birmingham Health System Inc Organization, Birmingham, AL Operational/Managerial Control Sep 1, 2010
Jennifer Schneider Individual W-2 Managing EmployeeCfo University of Alabama Hospital Oct 31, 2023
Dawn Bulgarella Individual Corporate DirectorChief Executive Officer Feb 3, 2023

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 300

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 300

Affiliated clinicians 2,488

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,488

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1154435824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490001",
            "telephone_number": "205-934-6249",
            "fax_number": "205-975-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352490001",
            "telephone_number": "205-934-6249",
            "fax_number": "205-975-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REID",
        "authorized_official_title_or_position": "COO UAB HEALTH SYSTEM",
        "authorized_official_telephone_number": "205-731-9770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "11831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.