Individual provider Active NPI

Michael Craig Kleinmann, D.O.

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1386620912
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO-584 Issued in AL
Practice address
124A South University Blvd
Mobile, AL 36608
Phone
(251) 343-5004
Fax
(251) 343-5136
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DO584 AL
Nephrology Physician 207RN0300X DO-584 AL Primary

Addresses

Primary practice location

124A South University Blvd
Mobile, AL 36608

Mailing address

P.O. Box 850849
Mobile, AL 36685-0849
Phone (251) 343-5004

Other identifiers 3

IdentifierTypeStateIssuer
0009982880MedicaidAL
009982880MedicaidAL
51507361OtherALBCBS

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
I20100223000132 AL Practitioner - NephrologyPractitioner - Neurology 7113924549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians
Mobile Vascular Labs LLCGroup PAC ID 0143361519, 4 clinicians

Practice addresses (Care Compare)

124 S University Blvd
Suite a
Mobile, AL 36608-3078

124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004

1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 433-1180

3250 Airport Blvd
Suite C
Mobile, AL 36606-3800
Phone (251) 343-5004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO584ALMDSpecialist
DO-584ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vascular Labs LLC Specialist CurrentSince Mar 13, 2010 Accepting new patients
Nephrology Associates of Mobile, P.a. Specialist CurrentSince Jul 1, 2002 Accepting new patients

Locations

917A Plantation Blvd
Fairhope, AL 36532
Phone (251) 410-8272

1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272

124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053

Interoperability endpoints

  • Direct secure messaging: jmichael.kleinmann.p213@direct.aac.nextgenshare.com
  • Direct secure messaging: mkleinmann26283@direct.acumenmd.com

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.

Hospital & facility affiliations 6

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1386620912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 850849",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850849",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124A SOUTH UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-343-5004",
            "fax_number": "251-343-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINMANN",
        "first_name": "MICHAEL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "DO584",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "DO-584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009982880",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982880",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51507361",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.