Individual provider Active NPI

Wiley Kemp Livingston Jr., M.D.

  • Internal Medicine Physician
  • Bessemer, AL
National Provider Identifier
1215917794
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9387 Issued in AL
Practice address
927 Medical Center Dr
Bessemer, AL 35022-6081
Phone
(205) 481-8670
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 9387 AL Primary

Addresses

Primary practice location

927 Medical Center Dr
Bessemer, AL 35022-6081

Mailing address

PO Box 11407
Birmingham, AL 35246-0777
Phone (205) 481-7670

Other identifiers 2

IdentifierTypeStateIssuer
051539255OtherALBLUE CROSS
009941418MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address livingston.wiley@direct.uabmw.org

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
I20061213000629 AL Practitioner - Internal Medicine 6507865854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical West Hospital Authority, an Affiliate of Uab Health System 88 clinicians

Practice addresses (Care Compare)

5000 Medical W Way
Suite 410
Bessemer, AL 35022-7082
Phone (205) 481-8670

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Hoover, AL, CCN 017026
  • Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9387ALMDInternal Medicine Physician

Practice roles (2 of 9)

OrganizationSpecialtyStatusNew patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Jan 1, 2006 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Internal Medicine Current Accepting new patients

Locations

5000 Medical West Way
Ste 410
Bessemer, AL 35022
Phone (205) 481-8570

921 Medical Center Dr
Bessemer, AL 35022
Phone (205) 424-2150

927 Medical Center Dr
Bessemer, AL 35022
Phone (205) 481-7748

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01C0
  • bcbs alabama network 01G0
  • bcbs alabama network 01I0

Interoperability endpoints

  • Direct secure messaging: livingston.wiley@direct.uabmw.org

Organizations & group practices 4

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 10

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1215917794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460777",
            "telephone_number": "205-481-7670",
            "fax_number": "205-481-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MEDICAL CENTER DR",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350226081",
            "telephone_number": "205-481-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "WILEY",
        "middle_name": "KEMP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "9387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051539255",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941418",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "livingston.wiley@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "927 Medical Center Dr",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350226081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.