Sergio Andres Acuna Mancilla, MD
Individual provider Active NPI Transplant Surgery Physician · Birmingham, AL
NPI 1346995271 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1346995271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Transplant Surgery Physician 204F00000X
- License
- 45760 (AL)
- Practice address
- 510 20TH St S
Birmingham, AL 35233-2028 - Phone
- (205) 996-1178
- NPI assigned
- Feb 18, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Alabama Health Services Foundation, PC
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
Hospital & facility affiliations
- University of Alabama Hospital
- Southeast Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- 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 |
|---|---|---|---|---|
| I20230221000259 | AL | Practitioner - General Surgery | 1759753783 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45760 | AL | MD | Transplant Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
510 20th St S
Birmingham, AL 35233
Phone (205) 934-3636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Transplant Surgery Physician | 204F00000X | 45760 | AL | Yes |
Addresses
Primary practice location
510 20TH St S
Birmingham, AL 35233-2028
Mailing address
120 Homewood Avenue
Unit 1801
Toronto, ONTARIO M4Y 2J3
CA
Other practice location 1
915 6th Ave S
Birmingham, AL 35233-1107
Phone (205) 975-9200
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | saacunamancilla@direct.uabmedicine.org | Direct | University of Alabama Hospital |
Other providers in Birmingham, AL
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- Bethany Acosta
- Active Rehab Inc.
- Active Transitions LLC
- Acton Road Pediatrics, LLC
- Lauren Grace Acupan
- Rachel A Adair
- Adam S Harris MD LLC
- Adamco LLC
- Adams Eye Care, PC
All providers in Birmingham, AL · Transplant Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. 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.