Alan Michael Alabaster, M.D.
Individual provider Active NPI Urology Physician · Memphis, TN
NPI 1295840510 · NPPES record last updated Jan 6, 2021
Key facts
- NPI
- 1295840510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 010710 (TN)
- Practice address
- 995 S Yates Rd
Ste. 1
Memphis, TN 38119-0882 - Phone
- (901) 527-7100
- Fax
- (901) 527-7124
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Urology
- Education
- University of Tennessee, HSC, College of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Urology, P.a.
Practice addresses (Care Compare)
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 219-8900
2504 W Main St
Suite a
Russellville, AR 72801-2536
Phone (501) 219-8900
7211 Dollarway Rd
White Hall, AR 71602-3020
Phone (501) 219-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MS, TN, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100802000703 | MS | Practitioner - Urology | 7214955830 | |
| I20100921000356 | TN | Practitioner - Urology | 7214955830 | Reassigns benefits to 2 organizations |
| I20210113000466 | AR | Practitioner - Urology | 7214955830 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10710 | TN | MD | General Practice Dentistry |
| R-3766 | AR | MD | Urology Physician |
| 010710 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current |
Accepting new patients | |
| Southeast Urology Network PC | Single Specialty | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Single Specialty | Current |
Accepting new patients |
| Arkansas Urology, P.a. | Single Specialty | Current |
Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Single Specialty | Current |
Accepting new patients |
| Cookeville Regional Medical Center | Current |
Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Single Specialty | Current |
Accepting new patients |
| Trasun LLC SH | Past | Accepting new patients |
Locations
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
1300 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1196
2504 W Main St
Ste A
Russellville, AR 72801
Phone (479) 964-3278
7211 Dollarway Rd
White Hall, AR 71602
Phone (501) 225-0410
920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
100 W 4th St
Ste 350
Cookeville, TN 38501
Phone (931) 646-2901
995 S Yates Rd
Ste 1
Memphis, TN 38119
Phone (901) 527-7100
Interoperability endpoints
- alan.alabaster.1@10448.direct.athenahealth.com
- https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 08478 | MS | |
| Urology Physician |
208800000X | R-3766 | AR | |
| Urology Physician | 208800000X | 010710 | TN | Yes |
Addresses
Primary practice location
995 S Yates Rd
Ste. 1
Memphis, TN 38119-0882
Mailing address
1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 410-1196
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340006063 | Other | MS | MS RR MCR |
| 00012171 | Medicaid | MS | |
| 3191002 | Medicaid | TN | |
| 340006061 | Other | TN | TN RR MCR |
Other providers in Memphis, TN
- Faris Al-Gebory
- Maha Al-Khawaja
- Abdullah Al-Rashdan
- Basil Al-Sabeq
- Hiba Naser Al-Zubeidi
- Ahmed Alaina
- Rezaul Alam
- Alan J Kraus MD PLC
- Alexa Alana
- Allen Nicole Casanova Alana
All providers in Memphis, TN · Urology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.