Individual provider Active NPI

Alan Roy Shain, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1316945306
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00010442 Issued in AL
Practice address
101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1786
Phone
(251) 414-5900
Fax
(251) 281-1162
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00010442 AL Primary

Addresses

Primary practice location

101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608-1786

Mailing address

101 Memorial Hospital Dr
Suite 200
Mobile, AL 36608
Phone (251) 414-5900

Other identifiers 3

IdentifierTypeStateIssuer
051009451OtherALBCBS
000009451MedicaidAL
0410447OtherALUNITED HEALTHCARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000457 AL Practitioner - Internal Medicine 3779497789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Infirmary AssociationGroup PAC ID 3476456625, 8 clinicians
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 401
Mobile, AL 36604-1410
Phone (251) 210-3250

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00010442ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Infirmary Association Current Accepting new patients
Internal Medicine Center LLC Current Accepting new patients
Imc-Hospitalists LLC CurrentSince Jan 20, 2022 Accepting new patients
Mobile Infirmary Association Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Gulf Regional Pathologists PA Current Accepting new patients

Locations

1720 Spring Hill Ave
Ste 401
Mobile, AL 36604
Phone (251) 210-3250

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

Interoperability endpoints

  • Direct secure messaging: ashain14554@directinfirmaryhealth.org
  • Direct secure messaging: alanshain@amgmd.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1316945306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-414-5900",
            "fax_number": "251-281-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081786",
            "telephone_number": "251-414-5900",
            "fax_number": "251-281-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIN",
        "first_name": "ALAN",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00010442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051009451",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009451",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0410447",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.