NPIMap

Organization Active NPI

University of Alabama Health Services Foundation PC

  • Clinic/Center
  • Birmingham, AL
National Provider Identifier
1528078219
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC
Practice address
1700 6TH Ave S
Birmingham, AL 35233-1802
Phone
(205) 934-3460
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Jan Gentry
Title
Director Professional Services
Phone
(205) 975-8850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1700 6TH Ave S
Birmingham, AL 35233-1802

Mailing address

PO Box 55823
Birmingham, AL 35255-5823
Phone (205) 934-4948

Other names 1

  • UAHSF Pediatric Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000261 AL Part B Supplier - Clinic/Group Practice 1951213107 Receives reassigned benefits from 4,706 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gardendale, AL; Hoover, AL; Huntsville, AL; Jacksonville, AL; Midfield, AL; Montgomery, AL; Moody, AL; Mountain BRK, AL…

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ua Health SVC FDN28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1700 6th Ave S
Ste 9100
Birmingham, AL 35233
Phone (205) 934-3460

620 20th St S
Birmingham, AL 35233
Phone (205) 934-7615

619 19th St S
Birmingham, AL 35249

619 19th St S
#320
Birmingham, AL 35233

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1528078219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55823",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555823",
            "telephone_number": "205-934-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-934-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DIRECTOR PROFESSIONAL SERVICES",
        "authorized_official_telephone_number": "205-975-8850"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UAHSF Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.