Active NPI
Shirin Banu, M.D
- Infectious Disease Physician
- Birmingham, AL
National Provider Identifier
1295828010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 00025845
- Practice address
- 1515 6TH Ave S
Cooper Green Mercy Hospital
Birmingham, AL 35233-1601 - Phone
- (205) 930-3245
- Fax
- (205) 918-2328
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 00025845 | AL | Primary |
Addresses
Primary practice location
1515 6TH Ave S
Cooper Green Mercy Hospital
Birmingham, AL 35233-1601
Mailing address
1515 6TH Ave S
Cooper Green Mercy Hospital
Birmingham, AL 35233-1601
Phone (205) 930-3245
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 |
|---|---|---|---|---|
| I20090528000430 | AL | Practitioner - Internal Medicine | 4981753613 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025845 | AL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients | |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current | Accepting new patients |
Locations
1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200
1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Clinic/Center
- Birmingham, AL
- NPI 1366073108
AL
-
- Clinic Pharmacy
- Birmingham, AL
- NPI 1568081644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1295828010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"address_2": "COOPER GREEN MERCY HOSPITAL",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-930-3245",
"fax_number": "205-918-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 6TH AVE S",
"address_2": "COOPER GREEN MERCY HOSPITAL",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331601",
"telephone_number": "205-930-3245",
"fax_number": "205-918-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANU",
"first_name": "SHIRIN",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AL",
"license": "00025845",
"primary": true
}
],
"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 Jul 8, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.