Active NPI
Parham Mora, M.D.
- Surgery Physician
- Prattville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20392
- Practice address
- 645 McQueen Smith Rd N
Suite 205
Prattville, AL 36066-7268 - Phone
- (334) 361-6126
- Fax
- (334) 361-6177
- NPI assigned
- May 3, 2006
- Last updated
- Aug 10, 2009
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20392 | AL | Primary |
Addresses
Primary practice location
645 McQueen Smith Rd N
Suite 205
Prattville, AL 36066-7268
Mailing address
645 McQueen Smith Rd N
Suite 205
Prattville, AL 36066-7268
Phone (334) 361-6126
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51501010 | Other | AL | BLUE CROSS I.D. |
| 020048725 | Other | AL | RAILROAD MEDICARE I.D. |
| 051501010 | Medicaid | AL | |
| 529909730 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- George Washington University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 264-9191
1722 Pine St
Montgomery, AL 36106-1160
554 McQueen Smith Rd N
Prattville, AL 36066-5558
Phone (334) 264-8741
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.18 of 100
- Quality
- 43.95
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 109 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 50 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20392 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital and Clinic Inc. | Surgery | Current | Accepting new patients |
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients |
Locations
1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263
1722 Pine St
Ste 502
Montgomery, AL 36106
Phone (334) 293-8123
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888
Interoperability endpoints
- parham.mora.1@9186.direct.athenahealth.com
- parham.mora@direct.baptistfirst.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
-
dba Jackson Pelvic Floor Therapy
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
dba Jackson General Surgery
- Surgery Physician
- Montgomery, AL
- NPI 1194256438
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
-
dba Prattville Baptist Hospital
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1417915679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 MCQUEEN SMITH RD N",
"address_2": "SUITE 205",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667268",
"telephone_number": "334-361-6126",
"fax_number": "334-361-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 MCQUEEN SMITH RD N",
"address_2": "SUITE 205",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667268",
"telephone_number": "334-361-6126",
"fax_number": "334-361-6177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "PARHAM",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "20392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS I.D.",
"identifier": "51501010",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE I.D.",
"identifier": "020048725",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051501010",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529909730",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.