NPIMap

Individual provider Active NPI

Jorge Alberto Vidal, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1487664454
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35926 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 934-8978
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X D64849 MD
Neuroradiology Physician 2085N0700X D64849 MD
Nuclear Radiology Physician 2085N0904X D64849 MD
Pediatric Radiology Physician 2085P0229X D64849 MD
Radiation Oncology Physician 2085R0001X D64849 MD
Diagnostic Radiology Physician 2085R0202X D64849 MD
Diagnostic Radiology Physician 2085R0202X 2007029610 MO
Therapeutic Radiology Physician 2085R0203X D64849 MD
Vascular & Interventional Radiology Physician 2085R0204X D64849 MD
Diagnostic Ultrasound Physician 2085U0001X D64849 MD
Diagnostic Radiology Physician 2085R0202X 35926 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other identifiers 3

IdentifierTypeStateIssuer
1487664454MedicaidMO
P00467069OtherMORR MEDICARE FOR GROUP DG5646
39128011OtherMOBCBS KANSAS CITY MO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PR, AL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071227000193 MO Practitioner - Diagnostic Radiology 0941390231 Reassigns benefits to 1 organization
I20090109000431 PR Practitioner - Diagnostic Radiology 0941390231 Reassigns benefits to 4 organizations
I20170602001666 AL Practitioner - Diagnostic Radiology 0941390231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64849MDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Jul 17, 2019 Accepting new patients
Pre-Vue CurrentSince Mar 1, 2016 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Jul 31, 2016 Accepting new patients
Oncology & Body Imaging PSC Body Imaging CurrentSince Jun 1, 2020 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Diagnostic Radiology CurrentSince Jan 8, 2015 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe CurrentSince Jan 8, 2015 Accepting new patients
The Curators of the University of Missouri CurrentSince Jul 17, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2017 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jul 31, 2016 Accepting new patients
Saint Luke's Hospital Medical Services LLC Diagnostic Radiology Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

Asem
San Juan, PR 00935

1669 Calle Parana
San Juan, PR 00926
Phone (787) 931-7486

Interoperability endpoints

  • Direct secure messaging: javidal@direct.uabmedicine.org

Organizations & group practices 10

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 8

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1487664454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2007029610",
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MD",
            "license": "D64849",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "35926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487664454",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE FOR GROUP DG5646",
            "identifier": "P00467069",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS CITY MO",
            "identifier": "39128011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.