NPIMap

Individual provider Active NPI

Justin Allen Calvert, M.D.

  • Diagnostic Radiology Physician
  • Mobile, AL
National Provider Identifier
1457549198
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
37655 Issued in AL
Practice address
5 Mobile Infirmary Circle
Mobile, AL 36607-3513
Phone
(251) 435-2400
Fax
(423) 778-7245
NPI assigned
Oct 9, 2007
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 44375 TN
Vascular & Interventional Radiology Physician 2085R0204X 44375 TN
Diagnostic Radiology Physician 2085R0202X 37655 AL Primary

Addresses

Primary practice location

5 Mobile Infirmary Circle
Mobile, AL 36607-3513

Mailing address

P.O. Box 9369
Mobile, AL 36691-0369
Phone (251) 460-0326

Other identifiers 1

IdentifierTypeStateIssuer
1510406MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, NC, AL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090107000171 TN Practitioner - Interventional RadiologyPractitioner - General SurgeryPractitioner - Diagnostic Radiology 2264595982 Reassigns benefits to 1 organization
I20160414001437 GA Practitioner - Diagnostic Radiology 2264595982 Reassigns benefits to 1 organization
I20160513002055 NC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2264595982 Reassigns benefits to 1 organization
I20221222000869 AL Practitioner - Diagnostic Radiology 2264595982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Interventional and Imaging Associates PLLCGroup PAC ID 4688897473, 33 clinicians

Practice addresses (Care Compare)

30547 Middle Creek Cir
Spanish Fort, AL 36527-5685
Phone (423) 778-7234

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 778-7234

975 E 3Rd St
Chattanooga, TN 37403-2147
Phone (423) 778-7234

975 E 3Rd St
Chattanooga, TN 37403-2173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
85.9
Improvement activities
40
Cost
72.41

Merit-based Incentive Payment System (MIPS)

Final score
97.02 of 100Reported as group
Quality
98.57
Improvement activities
40
Cost
92.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Coastal Radiology, PC CurrentSince Feb 1, 2023 Accepting new patients

Locations

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

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.

Hospital & facility affiliations 8

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1457549198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9369",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366910369",
            "telephone_number": "251-460-0326",
            "fax_number": "251-460-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIRCLE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-2400",
            "fax_number": "423-778-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "JUSTIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "44375",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TN",
            "license": "44375",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "37655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510406",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.