Individual provider Active NPI

Daniel Elliott Rousso, M.D.

  • Specialist
  • Birmingham, AL
National Provider Identifier
1447299987
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2700 Highway 280 S
Suite 300-W
Birmingham, AL 35223-2420
Phone
(205) 930-9595
Fax
(205) 802-7719
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AL Primary

Addresses

Primary practice location

2700 Highway 280 S
Suite 300-W
Birmingham, AL 35223-2420

Mailing address

2700 Highway 280 S
Suite 300-W
Birmingham, AL 35223-2420
Phone (205) 930-9595

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
I20111228000192 AL Practitioner - Plastic and Reconstructive Surgery 9133188246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Medical College of Georgia School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rousso Facial Plastic Surgery Clinic PCGroup PAC ID 2365401478, 2 clinicians

Practice addresses (Care Compare)

2700 Hwy 280
Suite 300 West
Birmingham, AL 35223-2445

2700 Hwy 280 S
Suite 300
Mountain BRK, AL 35223-2445
Phone (205) 930-9595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01I0
  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1447299987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S",
            "address_2": "SUITE 300-W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232420",
            "telephone_number": "205-930-9595",
            "fax_number": "205-802-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 HIGHWAY 280 S",
            "address_2": "SUITE 300-W",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352232420",
            "telephone_number": "205-930-9595",
            "fax_number": "205-802-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSO",
        "first_name": "DANIEL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.