Individual provider Active NPI

Duane Shroyer, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1467426346
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00012255 Issued in AL
Practice address
833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612
Phone
(205) 939-4512
Fax
(205) 939-4519
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00012255 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612

Mailing address

833 Saint Vincents Dr Ste 300
Pob III
Birmingham, AL 35205-1612
Phone (205) 939-4512

Other identifiers 3

IdentifierTypeStateIssuer
051034628OtherALBCBS PROVIDER NUMBER
110141630OtherALRRMCR PROVIDER NUMBER
000034628MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address duaneshroyer@southviewm.allscriptsdirect.net

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
I20080520000011 AL Practitioner - Internal Medicine 9133298979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Mississippi School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Group, PCGroup PAC ID 8729979794, 40 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 300
Birmingham, AL 35205-1612
Phone (205) 933-4640

833 Saint Vincents Dr
Suite 502
Birmingham, AL 35205-1613
Phone (205) 933-4640

833 St Vincents Dr
Suite 502
Birmingham, AL 35205-1613
Phone (205) 933-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00012255ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Group, PC Internal Medicine CurrentSince Apr 1, 2008 Accepting new patients
Uab Southview LLC Internal Medicine Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 558-4067

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

Interoperability endpoints

  • Direct secure messaging: duaneshroyer@southviewm.allscriptsdirect.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 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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1467426346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-939-4512",
            "fax_number": "205-939-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "address_2": "POB III",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-939-4512",
            "fax_number": "205-939-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD00012255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051034628",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR PROVIDER NUMBER",
            "identifier": "110141630",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000034628",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "duaneshroyer@southviewm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "833 Saint Vincents Dr Ste 300",
            "address_2": "POB III",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352051612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.