Individual provider Active NPI

Luigi F Bertoli, MD

  • Hematology (Internal Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1164514386
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
10846 Issued in AL
Practice address
2022 Brookwood Medical Ctr Dr
Suite G105
Birmingham, AL 35209-6808
Phone
(205) 877-2888
Fax
(205) 877-2039
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 10846 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Suite G105
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Suite G105
Birmingham, AL 35209-6808
Phone (205) 877-2888

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
I20100803001140 AL Practitioner - Hematology/Oncology 5294712014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Hematology Oncology PCGroup PAC ID 6204855729, 2 clinicians

Practice addresses (Care Compare)

2022 Brookwood Med Ctr Dr
Birmingham, AL 35209-6807
Phone (205) 877-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10846ALMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Hematology Oncology PC Hematology CurrentSince May 18, 1995 Accepting new patients

Locations

2022 Brookwood Medical Ctr Dr
Ste G105
Birmingham, AL 35209
Phone (205) 877-2880

2022 Brookwood Medical Ctr Dr
Ste 626
Birmingham, AL 35209
Phone (205) 877-2130

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164514386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE G105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2888",
            "fax_number": "205-877-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE G105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2888",
            "fax_number": "205-877-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLI",
        "first_name": "LUIGI",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "AL",
            "license": "10846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.