Individual provider Active NPI

Anthony A Chestang Jr., MD

  • Adult Medicine Physician
  • Birmingham, AL
National Provider Identifier
1427119700
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
21119 Issued in AL
Practice address
832 Princeton Ave SW
Birmingham, AL 35211-1310
Phone
(205) 206-8461
Fax
(205) 206-8484
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 21119 AL Primary

Addresses

Primary practice location

832 Princeton Ave SW
Birmingham, AL 35211-1310

Mailing address

PO Box 12366
Birmingham, AL 35202-2366
Phone (205) 780-7101

Other identifiers 5

IdentifierTypeStateIssuer
515-39989OtherALBCBS
G91272OtherALVIVA
G91272OtherALHEALTHSPRING
G91272OtherALUNITED HEALTHCARE
009942582MedicaidAL

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
I20041018000996 AL Practitioner - Family Practice 0345200937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Internal Medicine Associates, LLCGroup PAC ID 1658341193, 123 clinicians

Practice addresses (Care Compare)

339 Walker Chapel PLZ
Fultondale, AL 35068-3402

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-7206

7191 Cahaba Valley Rd
Suite 300
Hoover, AL 35242-6461
Phone (205) 814-7206

72 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 814-7206

74 Plaza Dr
Pell City, AL 35125-9314

832 Princeton Ave SW
Birmingham, AL 35211-1320
Phone (205) 206-8219

Hospital & facility affiliations

  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21119ALMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Internal Medicine Associates, LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

832 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 206-8231

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • Direct secure messaging: achestang2318@baptisthealthaldirect.org
  • Direct secure messaging: anthony.chestang.1@15135.direct.athenahealth.com

Organizations & group practices 1

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 4

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1427119700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12366",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352022366",
            "telephone_number": "205-780-7101",
            "fax_number": "205-206-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 PRINCETON AVE SW",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-206-8461",
            "fax_number": "205-206-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTANG",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "21119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-39989",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "G91272",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING",
            "identifier": "G91272",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "G91272",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942582",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.