Individual provider Active NPI

Rubymel Jijon Knupp, MD

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1366837247
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
37917 Issued in AL
Practice address
1500 6TH Ave S
Birmingham, AL 35294
Phone
(205) 934-2170
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 37917 AL
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 37917 AL Primary

Addresses

Primary practice location

1500 6TH Ave S
Birmingham, AL 35294

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other practice location 1

1700 6th Avenue South Street
Suite 10270
Birmingham, AL 35233-7333
Phone (205) 934-5612

Other practice location 2

653-1 W 8th St
Box L-17
Jacksonville, FL 32209-6511
Phone (904) 383-1037

Other practice location 3

653-1 W 8th St
Box L-17
Jacksonville, FL 32209-6511
Phone (904) 383-1037

Other practice location 4

619 19th St S
Birmingham, AL 35249-6511
Phone (205) 934-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190503001266 AL Practitioner - Obstetrics/Gynecology 0648587386 Reassigns benefits to 1 organization
I20220712003759 FL Practitioner - Obstetrics/Gynecology 0648587386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wake Forest University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians
Pediatrix Medical Group of Florida IncGroup PAC ID 4486634417, 37 clinicians

Practice addresses (Care Compare)

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

836 Prudential Dr
Suite 1800
Jacksonville, FL 32207-8355
Phone (904) 398-7684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37917ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2019 Accepting new patients
Halifax Healthcare Systems Inc Obstetrics & Gynecology CurrentSince Aug 30, 2022 Accepting new patients
The Nemours Foundation PastSince Mar 8, 2026 Accepting new patients
The Nemours Foundation PastSince Mar 8, 2026 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1700 6th Ave S
Ste 9100
Birmingham, AL 35233
Phone (205) 934-3460

1700 6th Ave S
Ste 10270
Birmingham, AL 35233
Phone (205) 934-4226

1500 6th Ave S
Birmingham, AL 35233
Phone (205) 934-2170

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

13241 Bartram Park Blvd
Unit 1017
Jacksonville, FL 32258
Phone (904) 260-2001

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

836 Prudential Dr
Ste 1800
Jacksonville, FL 32207
Phone (904) 398-7684

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1747 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 202-8550

1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1366837247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35294",
            "telephone_number": "205-934-2170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 6th Avenue South Street",
            "address_2": "Suite 10270",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352337333",
            "country_code": "US",
            "telephone_number": "205-934-5612",
            "fax_number": "205-297-9411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653-1 W 8th St",
            "address_2": "Box L-17",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-383-1037",
            "fax_number": "904-244-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "653-1 W 8th St",
            "address_2": "Box L-17",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096511",
            "country_code": "US",
            "telephone_number": "904-383-1037",
            "fax_number": "904-244-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352496511",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUPP",
        "first_name": "RUBYMEL",
        "middle_name": "JIJON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AL",
            "license": "37917",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "37917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.