Individual provider Active NPI

Pavel Wilfredo Barahona Rubio, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1487232674
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48115 Issued in AL
Practice address
420 Lowell Dr SE Ste 404
Huntsville, AL 35801-3754
Phone
(256) 265-9870
Fax
(256) 265-9875
NPI assigned
Mar 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48115 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE Ste 404
Huntsville, AL 35801-3754

Mailing address

PO Box 21007
Huntsville, AL 35813-5007

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
I20240809002627 AL Practitioner - Family Practice 3274071196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physician CareGroup PAC ID 4082042940, 108 clinicians

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 404
Huntsville, AL 35801-3754
Phone (256) 265-9870

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Huntsville, AL, CCN 017161
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48115ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Physician Care Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Healthcare Authority of the City of Huntsville Family Medicine Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

420 Lowell Dr SE
Ste 404
Huntsville, AL 35801
Phone (256) 265-1775

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 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1487232674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21007",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358135007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 404",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013754",
            "telephone_number": "256-265-9870",
            "fax_number": "256-265-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAHONA RUBIO",
        "first_name": "PAVEL",
        "middle_name": "WILFREDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "48115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.