Individual provider Active NPI

Cynthia J Dill, M.D.

  • Pediatrics Physician
  • Madison, AL
National Provider Identifier
1205877313
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
19231 Issued in AL
Practice address
21 Hughes Rd
Suite 2
Madison, AL 35758-3039
Phone
(256) 772-2037
Fax
(256) 772-9523
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19231 AL Primary

Addresses

Primary practice location

21 Hughes Rd
Suite 2
Madison, AL 35758-3039

Mailing address

21 Hughes Rd
Suite 2
Madison, AL 35758-3039
Phone (256) 772-2037

Other identifiers 1

IdentifierTypeStateIssuer
051504224OtherALBLUE CROSS & BLUE SHIELD

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
I20210324001088 AL Practitioner - Pediatric Medicine 1658788419 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19231ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC Pediatrics CurrentSince Dec 19, 2020 Accepting new patients
Pediatric Associates of Madison,PC Pediatrics Past Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1205877313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HUGHES RD",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583039",
            "telephone_number": "256-772-2037",
            "fax_number": "256-772-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HUGHES RD",
            "address_2": "SUITE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583039",
            "telephone_number": "256-772-2037",
            "fax_number": "256-772-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "19231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "051504224",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.