Individual provider Active NPI

Alan Michael Alabaster, M.D.

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1295840510
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
010710 Issued in 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
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 08478 MS
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X R-3766 AR
Urology Physician 208800000X 010710 TN Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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.Group PAC ID 4082502547, 39 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R-3766ARMDUrology Physician
08478MSMDUrology Physician
010710TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Cookeville Regional Medical Center Single Specialty CurrentSince Mar 24, 2020 Accepting new patients
Arkansas Urology, P.a. Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Southeast Urology Network PC Single Specialty Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Cookeville Regional Medical Center CurrentSince Mar 24, 2020 Accepting new patients
Cookeville Regional Medical Group, Inc Single Specialty CurrentSince Mar 24, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Trasun LLC SH Past Accepting new patients

Locations

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

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

  • Direct secure messaging: alan.alabaster.1@10448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1295840510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTERVIEW DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114349",
            "telephone_number": "501-410-1196",
            "fax_number": "501-410-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "STE. 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100",
            "fax_number": "901-527-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABASTER",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "08478",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AR",
            "license": "R-3766",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "010710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.