Individual provider Active NPI

Jennifer Leigh Michelson, M.D.

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1508205162
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.35906 Issued in AL
Practice address
1201 11TH Ave S Ste 501
Birmingham, AL 35205-3423
Phone
(205) 930-0930
Fax
(205) 930-9050
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.35906 AL Primary

Addresses

Primary practice location

1201 11TH Ave S Ste 501
Birmingham, AL 35205-3423

Mailing address

1201 11TH Ave S Ste 501
Birmingham, AL 35205-3423
Phone (617) 797-7365

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
I20170918000958 AL Practitioner - Ophthalmology 3971877754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Eye and Cataract Center PCGroup PAC ID 0941235360, 2 clinicians

Practice addresses (Care Compare)

1201 11TH S Ave
Suite 501
Birmingham, AL 35205-3410
Phone (205) 930-0930

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
95.02
Improvement activities
40
Cost
75.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35906ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Eye & Cataract Center PC CurrentSince Aug 1, 2017 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

1201 11th Ave S
#501
Birmingham, AL 35205
Phone (205) 930-0930

1201 11th Ave S
Ste 501
Birmingham, AL 35205
Phone (205) 930-0930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1508205162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S STE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053423",
            "telephone_number": "617-797-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 11TH AVE S STE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352053423",
            "telephone_number": "205-930-0930",
            "fax_number": "205-930-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.35906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.