Individual provider Active NPI

Ronnie Dell Waldrop, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Mobile, AL
National Provider Identifier
1376656892
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
32185 Issued in AL
Practice address
1700 Center St
Mobile, AL 36604
Phone
(251) 415-1000
Fax
(251) 415-1001
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19666 LA
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 0101241333 VA
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 32185 AL Primary

Addresses

Primary practice location

1700 Center St
Mobile, AL 36604

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 415-1000

Other practice location 1

44045 Riverside Pkwy
Loudoun Hospital Center
Leesburg, VA 20176-5101
Phone (703) 858-6044

Other practice location 2

44045 Riverside Pkwy
Loudoun Hospital Center
Leesburg, VA 20176-5101
Phone (703) 858-6044

Other practice location 3

662 Pierce Dr
Mandeville, LA 70448-7506
Phone (225) 247-2992

Other names 1

  • Ron D Waldrop Other name

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
I20130301000264 AL Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 1557350667 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19666LAMDEmergency Medicine Physician
32185ALMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
USA Health Physician Billing Services LLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Professional Emergency Physician Associates, LLC Emergency Medicine PastSince Jul 25, 2019 Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1376656892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-415-1000",
            "fax_number": "251-415-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36604",
            "telephone_number": "251-415-1000",
            "fax_number": "251-415-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44045 Riverside Pkwy",
            "address_2": "Loudoun Hospital Center",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6044",
            "fax_number": "610-617-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_2": "Loudoun Hospital Center",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6044",
            "fax_number": "610-617-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 Pierce Dr",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704487506",
            "country_code": "US",
            "telephone_number": "225-247-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "RONNIE",
        "middle_name": "DELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "19666",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "VA",
            "license": "0101241333",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "AL",
            "license": "32185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RON",
            "last_name": "WALDROP",
            "middle_name": "D",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.