NPIMap

Individual provider Active NPI

Richard Lewis Snellgrove, MD

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1366499477
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00016922 Issued in AL
Practice address
341 Greeno N Rd C
Fairhope, AL 36532-2979
Phone
(251) 990-1770
Fax
(251) 990-1771
NPI assigned
May 27, 2006
Last updated
Jul 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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 00016922 AL Primary

Addresses

Primary practice location

341 Greeno N Rd C
Fairhope, AL 36532-2979

Mailing address

341 Greeno N Rd C
Fairhope, AL 36532-2979
Phone (251) 990-1770

Other identifiers 3

IdentifierTypeStateIssuer
510-38007OtherALBLUE CROSS BLUE SHIELD
0119053MedicaidMS
000038007MedicaidAL

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
I20100727000579 AL Practitioner - Internal Medicine 4183757248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24220 US Hwy 98
Fairhope, AL 36532-3406
Phone (251) 990-1770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00016922ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc CurrentSince Jul 24, 2022 Accepting new patients
Eastern Shore Internal Medicine, LLC Internal Medicine CurrentSince Jan 1, 2011 Accepting new patients
Integrative Medicine Centre LLC Past Accepting new patients
Cardiology Associates of Mobile Inc Internal Medicine Past Accepting new patients

Locations

188 Hospital Dr
Ste 205
Fairhope, AL 36532
Phone (251) 990-3701

24220 US Highway 98
Fairhope, AL 36532
Phone (251) 300-2240

341 Greeno Rd N
#C
Fairhope, AL 36532
Phone (251) 990-1770

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

6475 Spanish Fort Blvd
Ste G
Spanish Fort, AL 36527
Phone (251) 445-1500

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rsnellgrove@esiml-al.direct.office.nextgen.com

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 10

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1366499477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 GREENO N RD C",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-990-1770",
            "fax_number": "251-990-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GREENO N RD C",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322979",
            "telephone_number": "251-990-1770",
            "fax_number": "251-990-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNELLGROVE",
        "first_name": "RICHARD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00016922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "510-38007",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119053",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038007",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.