Active NPI
Michael Edward Fleenor, M.D.
- Internal Medicine Physician
- Birmingham, AL
National Provider Identifier
1376515270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00009356
- Practice address
- 1400 6TH Ave S
Birmingham, AL 35233-1502 - Phone
- (205) 930-1504
- Fax
- (205) 930-0243
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00009356 | AL | Primary |
Addresses
Primary practice location
1400 6TH Ave S
Birmingham, AL 35233-1502
Mailing address
1400 6TH Ave S
Birmingham, AL 35233-1502
Phone (205) 930-1504
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051082950 | Other | AL | BLUE SHIELD OF ALABAMA |
| 1457365132 | Other | GROUP PAYEE NPI | |
| 1376515270 | Other | NPI | |
| 307309275 | Medicaid | AL | |
| G587 | Other | AL | MEDICARE GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009356 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Board of Health | Past | Accepting new patients | |
| Jefferson County Board of Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Birmingham, AL
- NPI 1336167196
-
- Public Health or Welfare Agency
- Birmingham, AL
- NPI 1457365132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1376515270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331502",
"telephone_number": "205-930-1504",
"fax_number": "205-930-0243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 6TH AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331502",
"telephone_number": "205-930-1504",
"fax_number": "205-930-0243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEENOR",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00009356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ALABAMA",
"identifier": "051082950",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PAYEE NPI",
"identifier": "1457365132",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1376515270",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307309275",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "G587",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.