Individual provider Active NPI

Sulaf Mansur Hage, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1265478143
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26826 Issued in AL
Practice address
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone
(205) 783-7970
Fax
(205) 783-7695
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 26826 AL
Internal Medicine Physician 207R00000X 26826 AL Primary

Addresses

Primary practice location

701 Princeton Ave SW
Birmingham, AL 35211-1303

Mailing address

PO Box 830605
Birmingham, AL 35283-0605
Phone (205) 715-5943

Other practice location 1

817 Princeton Ave SW
Birmingham, AL 35211-1333
Phone (205) 975-0512

Other identifiers 1

IdentifierTypeStateIssuer
009933129MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smansur@direct.uabmedicine.org Direct University of Alabama Hospital

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
I20050906000359 AL Practitioner - Internal Medicine 5193757649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26826ALMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 1, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 15, 2022 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Nov 29, 2021 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Nephrology Associates, PC Past Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

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

817 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 788-7572

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

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

619 19th St S
Birmingham, AL 35249

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

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

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Interoperability endpoints

  • Direct secure messaging: smansur@direct.uabmedicine.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1265478143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830605",
            "telephone_number": "205-715-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111303",
            "telephone_number": "205-783-7970",
            "fax_number": "205-783-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111333",
            "country_code": "US",
            "telephone_number": "205-975-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGE",
        "first_name": "SULAF",
        "middle_name": "MANSUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "26826",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "26826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933129",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smansur@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "817 Princeton Ave SW",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352111333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.