Individual provider Active NPI

Carson Bennett Penkava, M.D.

  • Emergency Medicine Physician
  • Bessemer, AL
National Provider Identifier
1417118779
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30037 Issued in AL
Practice address
995 9TH Ave SW
Bessemer, AL 35022-4527
Phone
(205) 481-7000
NPI assigned
Jun 19, 2008
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30037 AL Primary

Addresses

Primary practice location

995 9TH Ave SW
Bessemer, AL 35022-4527

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029

Other practice location 1

861 Hillcrest Rd
Mobile, AL 36695-3909
Phone (251) 277-2570

Other practice location 2

1038 Research Blvd Ste 280
Madison, AL 35758-2069
Phone (256) 258-9315

Other practice location 3

1715 N Bunner St
Foley, AL 36535-2229
Phone (251) 277-2570

Other practice location 4

440 Saint Lukes Dr Ste B
Montgomery, AL 36117-7104
Phone (334) 721-7220

Other practice location 5

2409 Acton Rd Ste 153
Vestavia, AL 35243-2939
Phone (205) 379-0174

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
I20101108000993 AL Practitioner - Emergency Medicine 1850586561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Infusion Services LLCGroup PAC ID 7315288487, 5 clinicians
Bessemer Emergency Physicians, LLC.Group PAC ID 8820047913, 10 clinicians

Practice addresses (Care Compare)

2409 Acton Rd
Suite 153
Vestavia, AL 35243-2939
Phone (205) 379-0174

995 9TH Ave SW
Bessemer, AL 35021-4527
Phone (205) 481-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.35 of 100Reported as group
Quality
79.64
Improvement activities
40
Cost
79.95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emergency Physician Group Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Apr 17, 2012 Accepting new patients
Trinity Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Alabama Infusion Services LLC CurrentSince Mar 11, 2019 Accepting new patients
Flexcare Infusion Okc, LLC PastSince Mar 11, 2019 Accepting new patients
St. Clair Emergency Physicians, LLC. Emergency Medicine Past Accepting new patients
Eye Health Partners of Alabama Inc Past Accepting new patients

Locations

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

1801 Park View Dr
Cullman, AL 35058
Phone (256) 775-6550

1715 N Bunner St
Foley, AL 36535
Phone (251) 943-2300

1038 Research Blvd
Ste 280
Madison, AL 35758
Phone (256) 258-9315

861 Hillcrest Rd
Mobile, AL 36695
Phone (251) 277-2570

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

440 Saint Lukes Dr
#B
Montgomery, AL 36117
Phone (334) 215-3400

952 Rose Dr
Northport, AL 35476
Phone (205) 339-8282

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

30941 Mill Ln
Ste D
Spanish Fort, AL 36527
Phone (251) 533-3275

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2409 Acton Rd
Ste 153
Vestavia, AL 35243
Phone (205) 379-0174

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Organizations & group practices 9

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 1

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1417118779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 9TH AVE SW",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350224527",
            "telephone_number": "205-481-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 Hillcrest Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366953909",
            "country_code": "US",
            "telephone_number": "251-277-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1038 Research Blvd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357582069",
            "country_code": "US",
            "telephone_number": "256-258-9315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 N Bunner St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352229",
            "country_code": "US",
            "telephone_number": "251-277-2570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Saint Lukes Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177104",
            "country_code": "US",
            "telephone_number": "334-721-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2409 Acton Rd Ste 153",
            "address_purpose": "LOCATION",
            "city": "Vestavia",
            "state": "AL",
            "postal_code": "352432939",
            "country_code": "US",
            "telephone_number": "205-379-0174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENKAVA",
        "first_name": "CARSON",
        "middle_name": "BENNETT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "30037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.