Individual provider Active NPI

Nancy Eileen Medeiros, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Huntsville, AL
National Provider Identifier
1427086404
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
16549 Issued in AL
Practice address
401 Meridian St N
Suite 400
Huntsville, AL 35801-4720
Phone
(256) 539-8851
Fax
(256) 534-7203
NPI assigned
Jun 29, 2006
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 16549 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X 16549 AL Primary

Addresses

Primary practice location

401 Meridian St N
Suite 400
Huntsville, AL 35801-4720

Mailing address

401 Meridian St N
Suite 400
Huntsville, AL 35801-4720
Phone (256) 539-8851

Other identifiers 1

IdentifierTypeStateIssuer
051550323MedicaidAL

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
I20100726000400 AL Practitioner - Ophthalmology 4587796669 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of North Alabama LLC Ophthalmology CurrentSince May 1, 2001 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

1201 11th Ave S
Ste 300
Birmingham, AL 35205

216 Marengo St
Florence, AL 35630
Phone (256) 767-1017

401 Meridian St N
Ste 400
Huntsville, AL 35801
Phone (256) 539-8851

Interoperability endpoints

  • Direct secure messaging: nmedeiros@rsnallc.intellechartdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1427086404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "SUITE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-539-8851",
            "fax_number": "256-534-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MERIDIAN ST N",
            "address_2": "SUITE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014720",
            "telephone_number": "256-539-8851",
            "fax_number": "256-534-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "NANCY",
        "middle_name": "EILEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "16549",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "16549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051550323",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.