Individual provider Active NPI

Spogmai Wassimi

  • Anatomic Pathology & Clinical Pathology Physician
  • Alabaster, AL
National Provider Identifier
1275096042
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
42316 Issued in AL
Practice address
1004 1St St N Ste 200
Alabaster, AL 35007-8796
Phone
(205) 664-9797
NPI assigned
Apr 9, 2019
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 42316 AL Primary

Addresses

Primary practice location

1004 1St St N Ste 200
Alabaster, AL 35007-8796

Mailing address

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (561) 626-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240712000381 AL Practitioner - Pathology 8123563350 Reassigns benefits to 2 organizations
I20260302003658 CA Practitioner - Pathology 8123563350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Universite de Sherbrooke, Faculte de Medecine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cytopath, PCGroup PAC ID 4688656937, 2 clinicians
Yosemite Pathology Medical Group IncGroup PAC ID 3072415751, 45 clinicians

Practice addresses (Care Compare)

1004 1St St N
Suite 200
Alabaster, AL 35007-8796
Phone (205) 664-9797

4301 N Star Way
Suite a
Modesto, CA 95356-9262
Phone (209) 577-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42316ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cunningham Pathology, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Cytopath, PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Yosemite Pathology Medical Group, Inc Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Cunningham Pathology, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Cytopath PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1004 1st St N
Ste 200
Alabaster, AL 35007
Phone (205) 664-9797

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

924 Montclair Rd
Birmingham, AL 35213

4301 N Star Way
Ste A
Modesto, CA 95356

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1275096042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "561-626-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 1ST ST N STE 200",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078796",
            "telephone_number": "205-664-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSIMI",
        "first_name": "SPOGMAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "42316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.