Individual provider Active NPI

Roxanne Renee Travelute, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1174683452
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14830 Issued in AL
Practice address
513 Brookwood Blvd Ste 50
Birmingham, AL 35209
Phone
(205) 877-2761
Fax
(205) 802-6831
NPI assigned
Dec 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 14830 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd Ste 50
Birmingham, AL 35209

Mailing address

513 Brookwood Blvd Ste 50
Birmingham, AL 35209
Phone (205) 877-2761

Other identifiers 1

IdentifierTypeStateIssuer
33872MedicaidAL

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
I20101103000108 AL Practitioner - Internal Medicine 7810181914 Reassigns benefits to 1 organization
Practice locations: Birmingham, AL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Associates, LLCGroup PAC ID 0446168694, shared by 3 NPIs, 17 clinicians
Brookwood Internists PCGroup PAC ID 6406875418, 13 clinicians

Practice addresses (Care Compare)

200 Montgomery Hwy
Suite 150
Vestavia Hills, AL 35216-1898
Phone (205) 822-0067

513 Brookwood Blvd
Suite 50
Birmingham, AL 35209-7802
Phone 2058772761170

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookwood Internists PC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients

Locations

513 Brookwood Blvd
Ste 50
Homewood, AL 35209
Phone (205) 877-2761

Interoperability endpoints

  • Direct secure messaging: roxanne.travelute@brookwoodinternists.directbygreenway.com

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 5

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1174683452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-877-2761",
            "fax_number": "205-802-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 50",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-877-2761",
            "fax_number": "205-802-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVELUTE",
        "first_name": "ROXANNE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33872",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.