Individual provider Active NPI

Jose Ramon Mestre, M.D.

  • Pediatric Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1508885559
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
10327 Issued in AL
Practice address
1023 22ND St S
Birmingham, AL 35205-2811
Phone
(205) 714-7760
Fax
(205) 714-7761
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 10327 AL Primary

Addresses

Primary practice location

1023 22ND St S
Birmingham, AL 35205-2811

Mailing address

1023 22ND St S
Birmingham, AL 35205-2811
Phone (205) 714-7760

Other identifiers 2

IdentifierTypeStateIssuer
008704800MedicaidAL
51017507OtherBLUE CROSS AND BLUE SHIELD

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
I20150528000978 AL Practitioner - Pediatric Medicine 4284954561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Florida College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 975-9925

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Mar 14, 2015 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 14, 2015 Accepting new patients
Gastroenterology for Children P.C. Pediatric Gastroenterology Past Accepting new patients

Locations

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01I0
  • bcbs alabama network 01E0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: jmestre21406@childrensofalabama.direct-ci.com

Organizations & group practices 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1508885559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 22ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052811",
            "telephone_number": "205-714-7760",
            "fax_number": "205-714-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 22ND ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052811",
            "telephone_number": "205-714-7760",
            "fax_number": "205-714-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTRE",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AL",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008704800",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "51017507",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.