Individual provider Active NPI

Donald Klasing, MD

  • Psychiatry Physician
  • Huntsville, AL
National Provider Identifier
1508860230
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21172 Issued in AL
Practice address
4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Phone
(256) 864-3356
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21172 AL
Psychiatry Physician 2084P0800X 200600548 NC
Psychiatry Physician 2084P0800X 21172 AL Primary

Addresses

Primary practice location

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364

Mailing address

4040 Memorial Pkwy SW Ste H
Huntsville, AL 35802-4364
Phone (256) 864-3356

Other identifiers 3

IdentifierTypeStateIssuer
5903764MedicaidNC
MD.21172OtherALALABAMA MEDICAL LICENSURE
G00548MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050228000759 AL Practitioner - Psychiatry 3072566249 Reassigns benefits to 1 organization
I20061026000553 NC Practitioner - Psychiatry 3072566249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstone, Inc.Group PAC ID 9739070046, 18 clinicians

Practice addresses (Care Compare)

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Phone (256) 533-1970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200600548NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstone, Inc. Psychiatry CurrentSince Oct 1, 2021 Accepting new patients
Caromont Medical Group Inc Family Medicine Current Accepting new patients
Caromont Medical Group Inc Psychiatry CurrentSince Jun 1, 2006 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Jun 1, 2006 Accepting new patients
Cullman County Medical Clinic Inc Family Medicine Past Accepting new patients
Cobblestone Psych Ctr Psychiatry Past Accepting new patients

Locations

1909 Commerce Ave
Cullman, AL 35055
Phone (256) 734-4688

4040 Memorial Pkwy SW
Ste H
Huntsville, AL 35802

4040 Memorial Pkwy SW
Huntsville, AL 35802
Phone (256) 533-1970

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1867 Remount Rd
Ste H
Gastonia, NC 28054
Phone (704) 671-7370

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

Organizations & group practices 6

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508860230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364",
            "telephone_number": "256-864-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358024364",
            "telephone_number": "256-864-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLASING",
        "first_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "21172",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200600548",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "21172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903764",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA MEDICAL LICENSURE",
            "identifier": "MD.21172",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G00548",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.