NPIMap

Individual provider Active NPI

Ralph B. Redd, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1487676045
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00025324 Issued in AL
Practice address
2104 Chestnut St
Montgomery, AL 36106-1113
Phone
(334) 801-9952
Fax
(334) 356-4195
NPI assigned
Jul 24, 2006
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00025324 AL Primary
Vascular Surgery Physician 2086S0129X MD.25324 AL

Addresses

Primary practice location

2104 Chestnut St
Montgomery, AL 36106-1113

Mailing address

2104 Chestnut St
Montgomery, AL 36106-1113
Phone (334) 801-9952

Other practice location 1

1023 Medical Center Pkwy Ste 301
Selma, AL 36701-7738
Phone (334) 284-6500

Other identifiers 2

IdentifierTypeStateIssuer
51515844OtherALBLUE CROSS
051553541MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000572 AL Practitioner - Vascular Surgery 5092839639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Vascular Specialists PCGroup PAC ID 5294117008, 4 clinicians

Practice addresses (Care Compare)

2104 Chestnut St
Montgomery, AL 36106-1113
Phone (334) 801-9952

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)75
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Vascular Specialists, PC Vascular Surgery CurrentSince Jun 22, 2022 Accepting new patients
Fresenius Vascular Care Montgomery LLLP CurrentSince Sep 16, 2024 Accepting new patients
Medvision, L.L.C. CurrentSince Mar 1, 2020 Accepting new patients
Lightfoot Chiropractic Clinic, LLC CurrentSince Jun 22, 2022 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients

Locations

1501 Forest Ave
Montgomery, AL 36106
Phone (334) 265-3140

2104 Chestnut St
Montgomery, AL 36106
Phone (334) 613-0807

2117 Broad St
Selma, AL 36701
Phone (334) 801-9952

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.372198
  • Direct secure messaging: ralph.redd.p106@direct.aac.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1487676045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-801-9952",
            "fax_number": "334-356-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-801-9952",
            "fax_number": "334-356-4195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Medical Center Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367017738",
            "country_code": "US",
            "telephone_number": "334-284-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDD",
        "first_name": "RALPH",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-11-03",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00025324",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "MD.25324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51515844",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553541",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.