Individual provider Active NPI

Babatunde Abolade, MD

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1285689653
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25622 Issued in AL
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

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051523656MedicaidAL
51523656OtherALBCBS

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
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 2 clinicians

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.