NPIMap

Individual provider Active NPI

Larry S Mikul, M.D.

  • Internal Medicine Physician
  • Jemison, AL
National Provider Identifier
1356454102
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19384 Issued in AL
Practice address
25420 US Highway 31
Jemison, AL 35085-7868
Phone
(205) 668-1616
Fax
(205) 668-1038
NPI assigned
Aug 16, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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 19384 AL Primary

Addresses

Primary practice location

25420 US Highway 31
Jemison, AL 35085-7868

Mailing address

25420 US Highway 31
Jemison, AL 35085-7868
Phone (205) 668-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040515000247 AL Practitioner - Internal Medicine 3173513785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 715-5943

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19384ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince May 1, 2018 Accepting new patients
Baptist Health Centers, LLC CurrentSince May 1, 2018 Accepting new patients
Foley Clinic Corp Internal Medicine Past Accepting new patients

Locations

831 1st St N
Alabaster, AL 35007
Phone (205) 358-9120

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

206 Highway 304
Calera, AL 35040
Phone (205) 620-4611

25420 US Highway 31
Jemison, AL 35085
Phone (205) 668-1616

Interoperability endpoints

  • Direct secure messaging: lmikul2063@baptisthealthaldirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1356454102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25420 US HIGHWAY 31",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350857868",
            "telephone_number": "205-668-1616",
            "fax_number": "205-668-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25420 US HIGHWAY 31",
            "city": "JEMISON",
            "state": "AL",
            "postal_code": "350857868",
            "telephone_number": "205-668-1616",
            "fax_number": "205-668-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUL",
        "first_name": "LARRY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "19384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jemison, AL

Sources for this page

Verify at the official NPI Registry.