Individual provider Active NPI

Mary Leitschuh Whitley, M.D.

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1215979968
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00021640 Issued in AL
Practice address
7191 Cahaba Valley Rd Ste 204
Birmingham, AL 35242-6402
Phone
(205) 401-4715
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00021640 AL Primary

Addresses

Primary practice location

7191 Cahaba Valley Rd Ste 204
Birmingham, AL 35242-6402

Mailing address

7191 Cahaba Valley Rd Ste 204
Birmingham, AL 35242-6402
Phone (205) 401-4715

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
I20040224000692 AL Practitioner - Anesthesiology 2062308331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians

Practice addresses (Care Compare)

470 Taylor Rd
Suite 100
Montgomery, AL 36117-3532
Phone (334) 290-4530

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021640ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Montgomery PC Anesthesiology CurrentSince Feb 15, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2020 Accepting new patients
Anesthesia Services of Birmingham, P.C. Anesthesiology Past Accepting new patients
Anesthesia Resources Management Solutions Inc Anesthesiology Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

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

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

7191 Cahaba Valley Rd
Ste 204
Hoover, AL 35242
Phone (205) 995-9163

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

470 Taylor Rd
Ste 100
Montgomery, AL 36117
Phone (334) 284-9600

2700 Highway 280 S
Ste 300W
Mountain Brk, AL 35223
Phone (205) 930-9595

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1215979968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD STE 204",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-401-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 CAHABA VALLEY RD STE 204",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426402",
            "telephone_number": "205-401-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "MARY",
        "middle_name": "LEITSCHUH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00021640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.