NPIMap

Individual provider Active NPI

Edward Urban Kissel III, M.D.

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1205834686
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11458 Issued in AL
Practice address
2700 10TH Ave S
Ste 200
Birmingham, AL 35205-1248
Phone
(205) 933-7838
Fax
(205) 933-0951
NPI assigned
Jul 11, 2005
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 11458 AL Primary

Addresses

Primary practice location

2700 10TH Ave S
Ste 200
Birmingham, AL 35205-1248

Mailing address

2700 10TH Ave S Ste 200
Birmingham, AL 35205-1248
Phone (205) 933-7838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000776 AL Practitioner - Orthopedic Surgery 8729980784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Vincent's Orthopedics, PCGroup PAC ID 5294637252, 15 clinicians
STV Orthopedic Surgeons LLCGroup PAC ID 8224313614, 15 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Suite 200
Vestavia Hills, AL 35216-2805
Phone (205) 882-6990

2700 10TH Ave S
Suite 200
Birmingham, AL 35205-1248
Phone (205) 933-7838

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

805 Saint Vincents Dr
Birmingham, AL 35205-1636
Phone (205) 939-3699

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.8 of 100Reported as group
Quality
22.97
Promoting interoperability
23
Improvement activities
40
Cost
67.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement28
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)47
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11458ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uab STV Orthopedics, LLC Orthopaedic Surgery CurrentSince Jan 1, 2003 Accepting new patients
St. Vincent's Orthopedics, PC CurrentSince Jan 1, 2003 Accepting new patients
R. Rex Harris, MD LLC Orthopaedic Surgery Past Accepting new patients
R Rex Harris MD LLC Orthopaedic Surgery Past Accepting new patients

Locations

2700 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 938-7838

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01I0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1205834686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "205-933-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051248",
            "telephone_number": "205-933-7838",
            "fax_number": "205-933-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "EDWARD",
        "middle_name": "URBAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "11458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.