Individual provider Active NPI

John T Wilbanks, MD

  • Urology Physician
  • Homewood, AL
National Provider Identifier
1528026085
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19430 Issued in AL
Practice address
3485 Independence Dr
Homewood, AL 35209-5603
Phone
(205) 930-0920
Fax
(205) 445-0115
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19430 AL Primary

Addresses

Primary practice location

3485 Independence Dr
Homewood, AL 35209-5603

Mailing address

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

Other identifiers 3

IdentifierTypeStateIssuer
511-19040OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA
511-19947OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA
0366100001OtherALCIGNA GOVERNMENT SERVICES PTAN

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
I20100216000055 AL Practitioner - Urology 4082758057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

408 1St St N
Suite 100
Alabaster, AL 35007-9271
Phone (205) 930-0920

Hospital & facility affiliations

  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • Medical West, an Affiliate of Uab Health System Hospital, Bessemer, AL, CCN 010114

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
68.83
Promoting interoperability
89
Improvement activities
40
Cost
83.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Alabama PC CurrentSince Jan 1, 2012 Accepting new patients
Urology Centers of Alabama PC Urology CurrentSince Jan 1, 2012 Accepting new patients

Locations

408 1st St N
Ste 100
Alabaster, AL 35007

1010 1st St N
Ste 200
Alabaster, AL 35007
Phone (205) 663-1780

3489 Independence Dr
Birmingham, AL 35209

1320 Woodfin Ln
Clanton, AL 35045
Phone (205) 755-3500

3485 Independence Dr
Homewood, AL 35209

Interoperability endpoints

  • Direct secure messaging: johnwilbanks@uca.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1528026085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "19430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "511-19040",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "511-19947",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES PTAN",
            "identifier": "0366100001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.