Individual provider Active NPI

Thomas Carl Pendleton, M.D.

  • Internal Medicine Physician
  • Bessemer, AL
National Provider Identifier
1265543482
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13310 Issued in AL
Practice address
985 9TH Ave SW
Suite 406
Bessemer, AL 35022-4500
Phone
(205) 481-7470
Fax
(205) 481-7469
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 13310 AL Primary

Addresses

Primary practice location

985 9TH Ave SW
Suite 406
Bessemer, AL 35022-4500

Mailing address

985 9TH Ave SW
Suite 406
Bessemer, AL 35022-4500
Phone (205) 481-7470

Other identifiers 2

IdentifierTypeStateIssuer
51080542OtherALBLUE CROSS/BLUE SHIELD
000080542MedicaidAL

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
I20070426000049 AL Practitioner - Internal Medicine 5294839023 Reassigns benefits to 1 organization
Practice locations: Bessemer, AL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Medical W Way
Suite 410
Bessemer, AL 35022-7082
Phone (205) 481-8670

Hospital & facility affiliations

  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical West Hospital Authority, an Affiliate of Uab Health System CurrentSince Nov 1, 2019 Accepting new patients
Medical West Hospital Authority, an Affiliate of Uab Health System Internal Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

5000 Medical West Way
Ste 410
Bessemer, AL 35022
Phone (205) 481-8570

921 Medical Center Dr
Bessemer, AL 35022
Phone (205) 424-2150

985 9th Ave SW
Ste 406
Bessemer, AL 35022
Phone (205) 424-7064

995 9th Ave SW
Bessemer, AL 35022
Phone (205) 481-7155

5000 Medical West Way
Bessemer, AL 35022
Phone (205) 481-7312

Interoperability endpoints

  • Direct secure messaging: pendleton.thomas@direct.uabmw.org

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.

Hospital & facility affiliations 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265543482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "address_2": "SUITE 406",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224500",
            "telephone_number": "205-481-7470",
            "fax_number": "205-481-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 9TH AVE SW",
            "address_2": "SUITE 406",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224500",
            "telephone_number": "205-481-7470",
            "fax_number": "205-481-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51080542",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000080542",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.