Individual provider Active NPI

Katisha T Vance, M.D.

  • Hematology & Oncology Physician
  • Birmingham, AL
National Provider Identifier
1467526442
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24465 Issued in AL
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

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051556668MedicaidAL

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
I20031110000357 AL Practitioner - Medical OncologyPractitioner - Hematology 1658284294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Hematology Oncology Assoc LLCGroup PAC ID 1557265741, 31 clinicians

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 Hospital, Birmingham, AL, CCN 010103

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Birmingham Hematology Oncology Assoc LLC Hematology & Oncology CurrentSince Aug 1, 2005 Accepting new patients
BHC - Montclair Hospitalist PastSince Aug 1, 2001 Accepting new patients
Baptist Health System, Inc. PastSince Apr 1, 1996 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.