Active NPI
Katisha T Vance, M.D.
- Hematology & Oncology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 24465
- Practice address
- 833 Princeton Ave SW Ste 105a
Pob III
Birmingham, AL 35211-1323 - Phone
- (205) 786-6983
- Fax
- (205) 786-6987
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 24465 | AL | Primary |
Addresses
Primary practice location
833 Princeton Ave SW Ste 105a
Pob III
Birmingham, AL 35211-1323
Mailing address
500 Office Park Dr
Suite 400
Birmingham, AL 35223-2437
Phone (205) 803-4330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051556668 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Alabama School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3670 Grandview Pkwy
Suite 200
Birmingham, AL 35243-3326
Phone (205) 592-5077
3686 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 592-5077
5000 Medical W Way
Suite 610
Bessemer, AL 35022-7082
Phone (205) 481-4511
Hospital & facility affiliations
- Princeton Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 79.44
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 75.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birmingham Hematology Oncology Assoc LLC | Hematology & Oncology | Current | Accepting new patients |
| BHC - Montclair Hospitalist | Past | Accepting new patients | |
| Baptist Health System, Inc. | Past | Accepting new patients |
Locations
5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511
737 Memorial Dr
Ste 2
Bessemer, AL 35022
Phone (205) 481-4511
833 Princeton Ave SW
Ste 105A
Birmingham, AL 35211
Phone (205) 786-6983
500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Birmingham, AL
- NPI 1841216389
-
- Internal Medicine Physician
- Irondale, AL
- NPI 1821031824
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1568426690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1467526442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 OFFICE PARK DR",
"address_2": "SUITE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352232437",
"telephone_number": "205-803-4330",
"fax_number": "205-803-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 PRINCETON AVE SW STE 105A",
"address_2": "POB III",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111323",
"telephone_number": "205-786-6983",
"fax_number": "205-786-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "KATISHA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "AL",
"license": "24465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051556668",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.