Active NPI
Cleon Louis Rogers IV, M.D.
- Pediatrics Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31291
- Practice address
- 5720 1St Ave S
Birmingham, AL 35212-2522 - Phone
- (205) 380-9455
- Fax
- (205) 380-9459
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
AL, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1043023997
-
- Federally Qualified Health Center (FQHC)
- Center Point, AL
- NPI 1194252700
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1417426701
-
- Federally Qualified Health Center (FQHC)
- Birmingham, AL
- NPI 1730987280
-
- Primary Care Clinic/Center
- Hampton Cove, AL
- NPI 1013224443
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841308020
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Alabama School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christ Health Center Inc
Practice addresses (Care Compare)
2152 Old Springville Rd
Center Point, AL 35215-4005
Phone (205) 838-6000
Hospital & facility affiliations
- St. Vincent'S East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
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 |
|---|---|---|---|---|
| I20120227000509 | AL | Practitioner - Internal Medicine | 0547428211 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31291 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| St. Vincent'S East | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2152 Old Springville Rd
Center Point, AL 35215
Phone (205) 838-6000
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301
Interoperability endpoints
- cleon.rogers.1@12373.direct.athenahealth.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31291 | AL | Primary |
| Internal Medicine Physician | 207R00000X | 31291 | AL |
Addresses
NPPES NPI RegistryPrimary practice location
5720 1St Ave S
Birmingham, AL 35212-2522
Mailing address
5720 1St Ave S
Birmingham, AL 35212-2522
Phone (205) 380-9455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2015.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1285952408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 1ST AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352122522",
"telephone_number": "205-380-9455",
"fax_number": "205-934-9459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 1ST AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352122522",
"telephone_number": "205-380-9455",
"fax_number": "205-380-9459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CLEON",
"middle_name": "LOUIS",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "31291",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "31291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.