Individual provider Active NPI

Michael A Remillard, M.D.

  • Family Medicine Physician
  • Helena, AL
National Provider Identifier
1255444089
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21972 Issued in AL
Practice address
270 Village Pkwy
Helena, AL 35080-4040
Phone
(205) 664-9430
Fax
(205) 664-1846
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21972 AL Primary

Addresses

Primary practice location

270 Village Pkwy
Helena, AL 35080-4040

Mailing address

200 Beacon Pkwy W
Suite 330
Birmingham, AL 35209-3102
Phone (205) 715-5910

Other identifiers 1

IdentifierTypeStateIssuer
000095195MedicaidAL

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
I20040128000421 AL Practitioner - Family PracticePractitioner - Emergency Medicine 8325941495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

270 Village Pkwy
Helena, AL 35080-4040
Phone (205) 664-9430

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21972ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helena Family Medicine, LLC Family Medicine CurrentSince Jan 9, 2004 Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients
Complete Family Medicine Family Medicine Past Accepting new patients
BHC - Helena Family Medicine Past Accepting new patients

Locations

270 Village Pkwy
Helena, AL 35080
Phone (205) 664-9430

300 Royal Tower Dr
Homewood, AL 35209
Phone (205) 637-0592

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFDCD

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 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1255444089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON PKWY W",
            "address_2": "SUITE 330",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093102",
            "telephone_number": "205-715-5910",
            "fax_number": "205-715-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 VILLAGE PKWY",
            "city": "HELENA",
            "state": "AL",
            "postal_code": "350804040",
            "telephone_number": "205-664-9430",
            "fax_number": "205-664-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000095195",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AL

Sources for this page

Verify at the official NPI Registry.