Alex City Internal Medicine & Nephrology

Primary specialty

SpecialistTaxonomy code 174400000X

License

20515 Issued in AL

Legal business name

ALEX CITY INTERNAL MEDICINE & NEPHROLOGY

Practice address

3368 Highway 280
Suite 220
Alexander City, AL 35010-3393

Phone

(256) 409-1500

Fax

(256) 409-1144

NPI assigned

Mar 6, 2007

Reactivated

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dimtcho V Popov, MDNPI 1740289230

Title

Physician Owner

Phone

(256) 409-1500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26569/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dimtcho V Popov, MD

  • Nephrology Physician
  • Monroe, LA
  • NPI 1740289230

  AL, Specialist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1427188119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 220",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-409-1500",
            "fax_number": "256-409-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 HIGHWAY 280",
            "address_2": "SUITE 220",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103393",
            "telephone_number": "256-409-1500",
            "fax_number": "256-409-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX CITY INTERNAL MEDICINE & NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-05-05",
        "deactivation_date": "2007-10-29",
        "reactivation_date": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "POPOV",
        "authorized_official_first_name": "DIMTCHO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "256-409-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "20515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009931175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51516344",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advantage Dental Oral Health and Vision Center of Alabama, P.C.
• Ajc Health Services
• Aldridge Physical Therapy, LLC
• Alex City Chiropractic LLC
• Alex City Foot Specialties, LLC
• Alexander City
• Alexander City Amb Ser
• Alexander City Dental Care, PLLC
• Alexander City Dermatology
• Alexander City Dermatology

• Specialist in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.