Individual provider Active NPI

Vlada Groysman, MD

  • Dermatology Physician
  • Hoover, AL
National Provider Identifier
1255545455
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
28104 Issued in AL
Practice address
2290 Valleydale Rd
Ste 204
Hoover, AL 35244-2011
Phone
(205) 214-7546
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 28104 AL Primary

Addresses

Primary practice location

2290 Valleydale Rd
Ste 204
Hoover, AL 35244-2011

Mailing address

2290 Valleydale Rd
Ste 204
Hoover, AL 35244-2011
Phone (205) 214-7546

Other identifiers 10

IdentifierTypeStateIssuer
051101170OtherALBCBS
112213MedicaidAL
06552712MedicaidMS
112220MedicaidAL
051599998OtherALBCBS
P00812369OtherALRAILROAD MEDICARE
051049792OtherALBCBS
051599997OtherALBCBS
112217MedicaidAL
115058MedicaidAL

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
I20090824000044 AL Practitioner - Dermatology 3476607664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arizona College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Dermatology and Skin Health Center, LLCGroup PAC ID 5193979839, 6 clinicians

Practice addresses (Care Compare)

2279 Valleydale Rd
Suite 100
Hoover, AL 35244-2111
Phone (205) 214-7546

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
79.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision139
Removal of skin lesions1865
Removal of skin cancer13
Removal or shaving of skin growth230
Skin biopsy596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28104ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Dermatology & Skin Health Center, LLC CurrentSince Mar 1, 2013 Accepting new patients
Trustcare Health, LLC PastSince Apr 19, 2021 Accepting new patients

Locations

2279 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (205) 214-7546

2290 Valleydale Rd
Ste 204
Hoover, AL 35244
Phone (205) 214-7546

1649 McFarland Blvd N
Ste 201
Tuscaloosa, AL 35406
Phone (205) 214-7546

3965 Crosshaven Dr
Ste 113
Vestavia, AL 35243
Phone (205) 214-7546

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1255545455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 VALLEYDALE RD",
            "address_2": "STE 204",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442011",
            "telephone_number": "205-214-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 VALLEYDALE RD",
            "address_2": "STE 204",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442011",
            "telephone_number": "205-214-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROYSMAN",
        "first_name": "VLADA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "28104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051101170",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112213",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06552712",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112220",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051599998",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00812369",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051049792",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051599997",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112217",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115058",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.