Individual provider Active NPI

Stuart J Padove, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1164538310
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
7101 Issued in AL
Practice address
801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310
Phone
(205) 781-3752
Fax
(205) 788-7244
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 7101 AL
Sleep Medicine (Internal Medicine) Physician 207RS0012X 7101 AL Primary

Addresses

Primary practice location

801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310

Mailing address

801 Princeton Ave SW
Pob I; Suite 332
Birmingham, AL 35211-1310
Phone (205) 781-3752

Other identifiers 3

IdentifierTypeStateIssuer
1164538310MedicaidAL
P00880182OtherALRAILROAD MEDICATE
51108484OtherALBCBS OF 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000362 AL Practitioner - Sleep MedicinePractitioner - Internal Medicine 7810967783

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7101ALMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Pulmonary Group, P.C. Pulmonary Disease Current Accepting new patients

Locations

985 9th Ave SW
Ste 101
Bessemer, AL 35022
Phone (205) 481-7585

817 Princeton Ave SW
Ste 115
Birmingham, AL 35211
Phone (205) 453-9888

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1164538310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I; SUITE 332",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-781-3752",
            "fax_number": "205-788-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "POB I; SUITE 332",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-781-3752",
            "fax_number": "205-788-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADOVE",
        "first_name": "STUART",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "7101",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AL",
            "license": "7101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164538310",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICATE",
            "identifier": "P00880182",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51108484",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.