Individual provider Active NPI

Karl Peter Maxino Uy, M.D.

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1205064219
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32263 Issued in AL
Practice address
510 S 4TH St
Gadsden, AL 35901-5217
Phone
(256) 438-5008
Fax
(256) 467-4009
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036122107 IL
Family Medicine Physician 207Q00000X 32263 AL Primary

Addresses

Primary practice location

510 S 4TH St
Gadsden, AL 35901-5217

Mailing address

510 S 4TH St
Gadsden, AL 35901-5217
Phone (256) 438-5008

Other practice location 1

700 Chastain Blvd W
Glencoe, AL 35905-2011
Phone (256) 492-8113

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
I20131112001320 AL Practitioner - Family Practice 1254486871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Clinic LLCGroup PAC ID 5597038729, 2 clinicians

Practice addresses (Care Compare)

510 S 4TH St
Gadsden, AL 35901-5217
Phone (256) 438-5008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32263ALMDFamily Medicine Physician
036122107ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Clinic LLC Family Medicine CurrentSince Jul 3, 2017 Accepting new patients

Locations

512 S 4th St
Gadsden, AL 35901
Phone (256) 485-0920

510 S 4th St
Gadsden, AL 35901
Phone (256) 438-5008

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1205064219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015217",
            "telephone_number": "256-438-5008",
            "fax_number": "256-467-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Chastain Blvd W",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "AL",
            "postal_code": "359052011",
            "country_code": "US",
            "telephone_number": "256-492-8113",
            "fax_number": "256-492-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UY",
        "first_name": "KARL PETER",
        "middle_name": "MAXINO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036122107",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "32263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.