Individual provider Active NPI

Paulo Marcelo Gondim Sales, MD, MS

  • Psychiatry Physician
  • Vestavia Hills, AL
National Provider Identifier
1215387451
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
41915 Issued in AL
Practice address
1776 Independence CT Ste 302
Vestavia Hills, AL 35216-1231
Phone
(205) 506-0322
Fax
(205) 506-4390
NPI assigned
Jun 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 41915 AL Primary

Addresses

Primary practice location

1776 Independence CT Ste 302
Vestavia Hills, AL 35216-1231

Mailing address

1776 Independence CT Ste 302
Vestavia Hills, AL 35216-1231
Phone (205) 506-0322

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
I20210820001677 AL Practitioner - Psychiatry 4880931906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

1776 Independence CT
Suite 302
Vestavia Hills, AL 35216-1231
Phone (334) 239-2622

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC Psychiatry CurrentSince Aug 21, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 17, 2021 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1922 7th Ave S
Ste 603
Birmingham, AL 35233

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

401 Beacon Pkwy W
Homewood, AL 35209
Phone (205) 263-1701

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

1776 Independence Ct
Ste 302
Vestavia Hills, AL 35216
Phone (205) 506-0322

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": "1466294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1215387451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 INDEPENDENCE CT STE 302",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161231",
            "telephone_number": "205-506-0322",
            "fax_number": "205-506-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 INDEPENDENCE CT STE 302",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161231",
            "telephone_number": "205-506-0322",
            "fax_number": "205-506-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDIM SALES",
        "first_name": "PAULO MARCELO",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-19",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "41915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.