Individual provider Active NPI

Richard Whitehurst, MD

  • Neonatal-Perinatal Medicine Physician
  • Mobile, AL
National Provider Identifier
1336189745
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
14210 Issued in AL
Practice address
1700 Center St
Mobile, AL 36604-3301
Phone
(251) 415-1055
Fax
(251) 415-1045
NPI assigned
Jun 7, 2006
Last updated
May 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 14210 AL Primary

Addresses

Primary practice location

1700 Center St
Mobile, AL 36604-3301

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 415-1055

Other identifiers 6

IdentifierTypeStateIssuer
0113590MedicaidMS
000018906MedicaidAL
255645600MedicaidFL
51018906OtherALBLUE CROSS
1450740MedicaidLA
47-10047OtherALUNITED HEALTH CARE

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
I20100520000088 AL Practitioner - Pediatric Medicine 2062541683 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14210ALMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
University of South Alabama Current Accepting new patients
Springhill Hospitals, Inc Past Accepting new patients
University of South Alabama Past Accepting new patients
University of South Alabama Past Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1336189745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-415-1055",
            "fax_number": "251-415-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043301",
            "telephone_number": "251-415-1055",
            "fax_number": "251-415-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AL",
            "license": "14210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113590",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018906",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255645600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51018906",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1450740",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "47-10047",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.