NPIMap

Individual provider Active NPI

Ivana Barbara Kajdos, MD

  • Internal Medicine Physician
  • Jasper, AL
National Provider Identifier
1215939301
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10598 Issued in AL
Practice address
3400 Highway 78 E
Medical Arts Tower, Suite 321
Jasper, AL 35501-8907
Phone
(205) 385-0630
Fax
(205) 385-0645
NPI assigned
Aug 10, 2005
Last updated
Feb 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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 10598 AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower, Suite 321
Jasper, AL 35501-8907

Mailing address

1130 22ND St S
Ste 1000
Birmingham, AL 35205-2881
Phone (205) 385-0630

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
I20100428000648 AL Practitioner - Internal MedicinePractitioner - Family Practice 7113054842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 715-5943

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10598ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers, LLC CurrentSince Feb 1, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Feb 1, 2018 Accepting new patients
Nephrology Associates, PC PastSince Jul 22, 2017 Accepting new patients
BHC-Walker Primary Care Internal Medicine Past Accepting new patients
Family Medicine of Tuscaloosa, LLC Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2201 N Airport Rd
Jasper, AL 35504
Phone (205) 221-9351

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

3400 Highway 78 E
Ste 110
Jasper, AL 35501
Phone (205) 221-1755

3400 Highway 78 E
Ste 321
Jasper, AL 35501
Phone (205) 385-0630

Networks

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

Interoperability endpoints

  • Direct secure messaging: ikajdos18520@baptisthealthaldirect.org

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 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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1215939301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S",
            "address_2": "STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881",
            "telephone_number": "205-385-0630",
            "fax_number": "205-385-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER, SUITE 321",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-385-0630",
            "fax_number": "205-385-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJDOS",
        "first_name": "IVANA",
        "middle_name": "BARBARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "10598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.