NPIMap

Individual provider Active NPI

Ralph L Aquadro Jr., MD

  • Internal Medicine Physician
  • Florence, AL
National Provider Identifier
1396797288
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9113 Issued in AL
Practice address
204 Ana Drive
Florence, AL 35630
Phone
(256) 767-5940
Fax
(256) 767-5943
NPI assigned
May 17, 2006
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9113 AL Primary

Addresses

Primary practice location

204 Ana Drive
Florence, AL 35630

Mailing address

204 Ana Drive
Florence, AL 35630
Phone (256) 767-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101115000866 AL Practitioner - Internal Medicine 2567569759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inter Nal Medicine Clinic,LLCGroup PAC ID 5294757100, 4 clinicians

Practice addresses (Care Compare)

204 Ana Dr
Ste. B
Florence, AL 35630-1750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as individual
Quality
75.54
Improvement activities
40
Cost
72.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inter Nal Medicine Clinic,LLC Internal Medicine CurrentSince Jan 2, 1997 Accepting new patients
The Health Care Authority of Lauderdale County and the City of Florenc Past Accepting new patients

Locations

204 Ana Dr
Florence, AL 35630
Phone (256) 767-5940

204 Ana Dr
Ste B
Florence, AL 35630
Phone (205) 767-5940

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1396797288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 ANA DRIVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-767-5940",
            "fax_number": "256-767-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ANA DRIVE",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-767-5940",
            "fax_number": "256-767-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUADRO",
        "first_name": "RALPH",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "9113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.