Active NPI
Babatunde Abolade, MD
- Psychiatry Physician
- Montgomery, AL
National Provider Identifier
1285689653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25622
- Practice address
- 2430 Fairlane Dr
Suite C-07
Montgomery, AL 36116-1642 - Phone
- (334) 551-0735
- Fax
- (334) 551-0767
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 25622 | AL | Primary |
Addresses
Primary practice location
2430 Fairlane Dr
Suite C-07
Montgomery, AL 36116-1642
Mailing address
2430 Fairlane Dr
Suite C-07
Montgomery, AL 36116-1642
Phone (334) 551-0735
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051523656 | Medicaid | AL | |
| 51523656 | Other | AL | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040927000565 | AL | Practitioner - Psychiatry | 4183693237 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Montgomery Area Psychiatric Services, LLC
Practice addresses (Care Compare)
300 Interstate Park Dr
Suite 301
Montgomery, AL 36109-5408
Phone 33455107351
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Psychiatric Services PC | Psychiatry | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Montgomery, AL
- NPI 1700278777
AL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1285689653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 FAIRLANE DR",
"address_2": "SUITE C-07",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161642",
"telephone_number": "334-551-0735",
"fax_number": "334-551-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 FAIRLANE DR",
"address_2": "SUITE C-07",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361161642",
"telephone_number": "334-551-0735",
"fax_number": "334-551-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOLADE",
"first_name": "BABATUNDE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "25622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051523656",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51523656",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.