Individual provider Active NPI

Christopher W Ives, MD

  • Gastroenterology Physician
  • Fairhope, AL
National Provider Identifier
1477654010
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00017941 Issued in AL
Practice address
3 Medical Park Drive
Fairhope, AL 36532
Phone
(251) 928-8804
Fax
(251) 990-9379
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 00017941 AL Primary

Addresses

Primary practice location

3 Medical Park Drive
Fairhope, AL 36532

Mailing address

3 Medical Park Drive
Fairhope, AL 36532
Phone (251) 928-8804

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
I20110125000355 AL Practitioner - Gastroenterology 9638079569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairhope Gastroenterology LLCGroup PAC ID 1355772799, 2 clinicians

Practice addresses (Care Compare)

3 Medical Park
Fairhope, AL 36532-1804
Phone (251) 928-8804

3 Medical Park Dr
Fairhope, AL 36532-1804

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.47 of 100Reported as group
Quality
62.84
Improvement activities
40
Cost
84.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy410
Upper gastrointestinal (GI) endoscopy for acid reflux211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00017941ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairhope Gastroenterology, LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

3 Medical Park
Fairhope, AL 36532
Phone (251) 928-8804

3 Medical Park Dr
Fairhope, AL 36532
Phone (251) 928-8804

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.

Hospital & facility affiliations 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477654010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVES",
        "first_name": "CHRISTOPHER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "00017941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.