Etagbo Oqua Eta, M.D
Individual provider Active NPI Nephrology Physician · Gadsden, AL
NPI 1487974630 · NPPES record last updated Jan 5, 2023
Key facts
- NPI
- 1487974630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD.35051 (AL)
- Practice address
- 311 S 4TH St
Gadsden, AL 35901-5212 - Phone
- (256) 543-0989
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Etagbo Eta MD PC
Practice addresses (Care Compare)
406 Bay St
Gadsden, AL 35901-5108
Phone (256) 203-4713
Hospital & facility affiliations
- DaVita Rainbow City Dialysis
- DaVita Gadsden Dialysis
- FKC Gadsden
- RCG Fort Payne
- DaVita Marshall County Home Training
- Riverview Regional Medical Center
- Gadsden Regional Medical Center
- Marshall Medical Centers
- Floyd Cherokee Medical Center
- St Vincents Blount
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170308001133 | AL | Practitioner - Nephrology |
9931343241 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Internal Medicine | Current |
Accepting new patients |
| Hospital Medicine Associates LLC | Internal Medicine | Current |
Accepting new patients |
| Alpha Hospitalist Services | Current |
Accepting new patients | |
| Doctors Care Physicians PC | Past |
Accepting new patients | |
| Alpha Wellness Center and Spa | Past |
Accepting new patients |
Locations
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
410 Broad St
Gadsden, AL 35901
Phone (256) 438-5107
150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD.35051 | AL | Yes |
| Internal Medicine Physician | 207R00000X | MD.35051 | AL |
Addresses
Primary practice location
311 S 4TH St
Gadsden, AL 35901-5212
Mailing address
PO Box 7190
Rainbow City, AL 35906-7190
Phone (256) 203-4713
Other practice location 1
4802 10th Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000
Other practice location 2
4802 10th Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000
Other practice location 3
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 930-2456
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://health.usnews.com/doctors/etagbo-eta-820655 |
Other providers in Gadsden, AL
- Eric W Baum MD PC
- Ernest L. Bowling, OD, Ms, Faao, PC
- Jeffrey Blake Erwin
- Bess Estis
- Bukola Ganiyat Eta
- Etagbo Eta M.D., P.C.
- Haley Etheridge
- Etowah County
- Etowah County Health Dept Adult Immun
- Etowah County Health Dept AIDS
All providers in Gadsden, AL · Nephrology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.