Active NPI
Richard J. Gualtieri, M.D.
- Hematology & Oncology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 11446
- Practice address
- 201 Sivley Road, SW
Suite 200
Huntsville, AL 35801-5177 - Phone
- (256) 265-1822
- Fax
- (256) 265-1825
- NPI assigned
- Aug 31, 2005
- Reactivated
- Apr 3, 2006
- Last updated
- Dec 12, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 11446 | AL | Primary |
Addresses
Primary practice location
201 Sivley Road, SW
Suite 200
Huntsville, AL 35801-5177
Mailing address
201 Sivley Road, SW
Suite 200
Huntsville, AL 35801-5177
Phone (256) 265-1822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009945795 | Medicaid | AL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Columbia University College of Physicians and Surgeons, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2016 S Alabama Ave
Monroeville, AL 36460-3044
Phone (251) 743-7486
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monroe County Health Care Authority | Current | Accepting new patients | |
| Monroe County Health Care Authority | Current | Accepting new patients |
Locations
2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111
Interoperability endpoints
- richard.gualtieri.1@15074.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Monroe County Hospital Lab
- Clinical Medical Laboratory
- Monroeville, AL
- NPI 1811027576
-
dba Monroe County Hospital Board
- Critical Access Hospital
- Monroeville, AL
- NPI 1457392904
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Monroe County Hospital Board
- Critical Access Hospital
- Monroeville, AL
- NPI 1457392904
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Hospice of Monroe County
- Community Based Hospice Care Agency
- Monroeville, AL
- NPI 1699202341
-
dba USA Health University Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1063468072
-
dba USA Health Reference Lab Billing
- General Acute Care Hospital
- Mobile, AL
- NPI 1972138022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1306839774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SIVLEY ROAD, SW",
"address_2": "SUITE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015177",
"telephone_number": "256-265-1822",
"fax_number": "256-265-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SIVLEY ROAD, SW",
"address_2": "SUITE 200",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015177",
"telephone_number": "256-265-1822",
"fax_number": "256-265-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUALTIERI",
"first_name": "RICHARD",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2016-12-12",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AL",
"license": "11446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009945795",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.