Individual provider Active NPI

Charles Stebner Mosteller, M.D.

  • Ophthalmology Physician
  • Mobile, AL
National Provider Identifier
1235121492
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00014530 Issued in AL
Practice address
3701 Dauphin St
Mobile, AL 36608-1756
Phone
(251) 341-3368
Fax
(251) 341-3371
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00014530 AL Primary

Addresses

Primary practice location

3701 Dauphin St
Mobile, AL 36608-1756

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 341-3368

Other identifiers 4

IdentifierTypeStateIssuer
0810135OtherALUNITED HEALTHCARE PROV #
51034523OtherALBLUE CROSS PROVIDER #
4204103OtherALAETNA PIN
E56728OtherALHEALTHSPRING PROVIDER #

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
I20100927001110 AL Practitioner - Ophthalmology 5890811830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

3701 Dauphin St
Mobile, AL 36608-1756
Phone (251) 473-1900

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00014530ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. Ophthalmology CurrentSince Apr 1, 1997 Accepting new patients
Premier Health Management, Inc. Ophthalmology CurrentSince Apr 1, 1997 Accepting new patients

Locations

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

3701 Dauphin St
Mobile, AL 36608
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1235121492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-341-3368",
            "fax_number": "251-341-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081756",
            "telephone_number": "251-341-3368",
            "fax_number": "251-341-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "CHARLES",
        "middle_name": "STEBNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00014530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "0810135",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51034523",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4204103",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER #",
            "identifier": "E56728",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.