Individual provider Active NPI

Carl Maltese, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mobile, AL
National Provider Identifier
1487702999
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
13832 Issued in AL
Practice address
1901 Springhill Ave
Mobile, AL 36607
Phone
(251) 300-2240
Fax
(251) 300-2249
NPI assigned
Jan 8, 2007
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 13832 AL
Vascular Surgery Physician 2086S0129X 13832 AL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 13832 AL Primary

Addresses

Primary practice location

1901 Springhill Ave
Mobile, AL 36607

Mailing address

PO Box 746450
Atlanta, GA 30374-6450
Phone (866) 401-3057

Other practice location 1

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 300-2240

Other practice location 2

24220 US Highway 98
Fairhope, AL 36532-3406
Phone (251) 300-2240

Other identifiers 5

IdentifierTypeStateIssuer
0018838MedicaidMS
4049486OtherALAETNA PROVIDER #
3710049OtherALUHC
C71718OtherALHEALTHSPRINGS OF AL
000019748MedicaidAL

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
I20130429000442 AL Practitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5890683676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
University of Florida College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

75 S University Blvd
Unit 6000
Mobile, AL 36608-3274
Phone (251) 660-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
85.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Coronary artery bypass graft (CABG)12
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)24
Removal of tissue18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13832ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2024 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Jan 1, 2024 Accepting new patients
University of South Alabama Past Accepting new patients

Locations

1901 Spring Hill Ave
Mobile, AL 36607
Phone (251) 300-2240

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 4

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 4

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1487702999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746450",
            "telephone_number": "866-401-3057",
            "fax_number": "318-868-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SPRINGHILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36607",
            "telephone_number": "251-300-2240",
            "fax_number": "251-300-2249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Mobile Infirmary Cir",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073513",
            "country_code": "US",
            "telephone_number": "251-300-2240",
            "fax_number": "251-300-2249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24220 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323406",
            "country_code": "US",
            "telephone_number": "251-300-2240",
            "fax_number": "251-300-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "13832",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AL",
            "license": "13832",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "13832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018838",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4049486",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "3710049",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS OF AL",
            "identifier": "C71718",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019748",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.