NPIMap

Individual provider Active NPI

Enrico D Gaspar, M.D.

  • Internal Medicine Physician
  • Boaz, AL
National Provider Identifier
1497740492
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00026230 Issued in AL
Practice address
2986 US Highway 431
Boaz, AL 35957-5848
Phone
(256) 840-8181
Fax
(256) 744-7290
NPI assigned
Sep 15, 2005
Last updated
Apr 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00026230 AL Primary

Addresses

Primary practice location

2986 US Highway 431
Boaz, AL 35957-5848

Mailing address

PO Box 697
Boaz, AL 35957-0697
Phone (256) 840-8181

Other identifiers 2

IdentifierTypeStateIssuer
169927MedicaidAL
511-54768OtherALBLUE CROSS BLUE SHIELD

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
I20041110001234 AL Practitioner - Internal MedicinePractitioner - Family Practice 6709849649 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Gana Holdings, LLCGroup PAC ID 3476978412, 4 clinicians
MMC Inpatient Physician ServicesGroup PAC ID 9537669718, 19 clinicians
Magnolia Medical LLCGroup PAC ID 9931508439, 3 clinicians
United Doctors Family Medical Center LLCGroup PAC ID 0648597567, 13 clinicians
Southern Divine Family Medical Center LLCGroup PAC ID 0648692582, 5 clinicians
Marshall Medical Center South Diamond Hospital ServicesGroup PAC ID 7012173289, 6 clinicians

Practice addresses (Care Compare)

180 Medical St
Snead, AL 35952-6468
Phone (205) 386-4341

2505 US Hwy 431
Boaz, AL 35957-5908
Phone 25689466006940

2820 Al Hwy 68 W
Sandrock, AL 35983-4200
Phone (256) 523-3627

3442 US Hwy 431
Albertville, AL 35950-0203
Phone (256) 580-7660

7130 6TH Ave
Altoona, AL 35952-9052
Phone (205) 589-1092

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

8225 Hwy 75
Horton, AL 35980
Phone (256) 593-8304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026230ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Doctors Family Medical Center LLC Internal Medicine CurrentSince Mar 15, 2015 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Marshall Medical Center South Diamond Hospital Services CurrentSince Aug 2, 2025 Accepting new patients
Southern Divine Family Medical Center LLC Internal Medicine CurrentSince Dec 11, 2019 Accepting new patients
Gana Holdings, LLC Internal Medicine CurrentSince Nov 17, 2019 Accepting new patients
HH Health System - Marshall LLC CurrentSince Jul 11, 2020 Accepting new patients
Quality of Life Health Services Inc CurrentSince Dec 15, 2014 Accepting new patients
Quality of Life Health Services, Inc CurrentSince Dec 15, 2014 Accepting new patients
HH Health System - Marshall LLC CurrentSince Jul 11, 2020 Accepting new patients
MMC Inpatient Physician Services CurrentSince Jan 27, 2026 Accepting new patients
Magnolia Medical LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
The Cherokee County Health Care Authority PastSince Dec 1, 2021 Accepting new patients
Northside SNF Operations LLC Past Accepting new patients
Arabella Health and Wellness of Russellville LLC Past Accepting new patients
Diversicare of Big Springs, LLC Past Accepting new patients
Diversicare of Boaz, LLC Past Accepting new patients
Diversicare of Oneonta, LLC Past Accepting new patients
Crowne Health Care of Fort Payne, LLC Past Accepting new patients
Albertville Healthcare Center, Inc. Past Accepting new patients
Brookshire SNF Operations LLC Past Accepting new patients

Locations

3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234

7130 6th Ave
Altoona, AL 35952
Phone (205) 589-1092

2505 US Highway 431
Boaz, AL 35957
Phone (256) 539-8310

2509 US Hwy 431
Boaz, AL 35957

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

227 Brittany Rd
Guntersville, AL 35976
Phone (256) 891-3144

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

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

2820 AL Highway 68 W
Sandrock, AL 35983
Phone (256) 490-7339

180 Medical St
Snead, AL 35952
Phone (205) 386-4341

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherokee County Health and Rehabilitation CenterCentre, AL, CCN 015200 Skilled nursing facility Adp of the SNF Dec 1, 2021
Diversicare of Big SpringsHuntsville, AL, CCN 015111 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Jun 5, 2021
Dec 10, 2024
Diversicare of BoazBoaz, AL, CCN 015063 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 10, 2019
Dec 10, 2019
Arabella Health & Wellness of RussellvilleRussellville, AL, CCN 015071 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 25, 2024
Mar 25, 2024
United Doctors Family Medical Center- AltoonaAltoona, AL, CCN 018954 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control (100%)		 Dec 11, 2019
Dec 11, 2019
Dec 11, 2019
United Doctors Family Medical Center - SneadSnead, AL, CCN 018955 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Operational/Managerial Control (100%)		 Dec 11, 2019
Dec 11, 2019
Dec 11, 2019
United Doctors Family Medical Center- Sand RockSandrock, AL, CCN 018956 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
Operational/Managerial Control		 Feb 15, 2021
Feb 15, 2021
Feb 15, 2021

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1497740492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570697",
            "telephone_number": "256-840-8181",
            "fax_number": "256-744-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181",
            "fax_number": "256-744-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAR",
        "first_name": "ENRICO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00026230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169927",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "511-54768",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

Verify at the official NPI Registry.