Individual provider Active NPI

Mark Alan Elkus, M.D.

  • Orthopaedic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1366515033
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
24049 Issued in AL
Practice address
1400 South 19TH Street
Birmingham, AL 35213
Phone
(205) 939-0610
Fax
(205) 930-9134
NPI assigned
Nov 17, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 00024049 AL
Orthopaedic Surgery Physician 207X00000X 24049 AL Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 00024049 AL
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 24049 AL
Orthopaedic Trauma Physician 207XX0801X 00024049 AL
Orthopaedic Trauma Physician 207XX0801X 24049 AL

Addresses

Primary practice location

1400 South 19TH Street
Birmingham, AL 35213

Mailing address

1400 South 19TH Street
Birmingham, AL 35213
Phone (205) 939-0610

Other identifiers 3

IdentifierTypeStateIssuer
51553670OtherBLUE CROSS-BLUE SHIELD
51553670OtherALBLUE CROSS- BLUE SHIELD
EL009926035MedicaidAL

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
I20100922000589 AL Practitioner - Orthopedic Surgery 5597881060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Group of Birmingham,P.C.Group PAC ID 9830117118, 2 clinicians

Practice addresses (Care Compare)

1021 Montgomery Hwy
Suite 200
Vestavia Hills, AL 35216-2805
Phone (205) 882-6990

1400 19TH St S
Birmingham, AL 35205-4903
Phone (205) 939-0610

201 Doug Baker Blvd
Hoover, AL 35242-2013
Phone (205) 408-0700

3014 Allison Bonnett Memorial Dr
Suite 144And146
Hueytown, AL 35023-2392
Phone (205) 744-9444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
13.8 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement25
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00024049ALMDOrthopaedic Surgery Physician
24049ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Group of Birmingham,P.C. Orthopaedic Surgery CurrentSince Aug 1, 2003 Accepting new patients
Therapy South Lakeview LLC PastSince Sep 1, 2022 Accepting new patients

Locations

1400 19th St S
Birmingham, AL 35205
Phone (205) 731-2177

Interoperability endpoints

  • Direct secure messaging: mark.elkus@ogb.direct.medconnecthealth.com
  • Direct secure messaging: mark.elkus@orthobirm.direct.medconnect-inc.com

Organizations & group practices 3

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 5

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1366515033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SOUTH 19TH STREET",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-939-0610",
            "fax_number": "205-930-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SOUTH 19TH STREET",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35213",
            "telephone_number": "205-939-0610",
            "fax_number": "205-930-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKUS",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "00024049",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "24049",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AL",
            "license": "00024049",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "AL",
            "license": "24049",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "00024049",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "AL",
            "license": "24049",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "51553670",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS- BLUE SHIELD",
            "identifier": "51553670",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EL009926035",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.