Active NPI
Mario B Papagni, MD
- Emergency Medicine Physician
- Oneonta, AL
National Provider Identifier
1568457190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00006685
- Practice address
- 150 Gilbreath Dr
Oneonta, AL 35121-2827 - Phone
- (205) 274-3004
- Fax
- (205) 274-3002
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00006685 | AL | Primary |
Addresses
Primary practice location
150 Gilbreath Dr
Oneonta, AL 35121-2827
Mailing address
PO Box 11407 Lockbox 1066
Birmingham, AL 35246-1066
Phone (205) 437-6098
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051554487 | Medicaid | AL | |
| 009914083 | Medicaid | AL | |
| 051522586 | Medicaid | AL | |
| 051009629 | Other | AL | BCBS |
| 051520364 | Other | AL | BCBS |
| 051522586 | Other | AL | BCBS PROVIDER NUMBER |
| 5836556 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00006685 | AL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1568457190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407 LOCKBOX 1066",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352461066",
"telephone_number": "205-437-6098",
"fax_number": "205-437-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GILBREATH DR",
"city": "ONEONTA",
"state": "AL",
"postal_code": "351212827",
"telephone_number": "205-274-3004",
"fax_number": "205-274-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPAGNI",
"first_name": "MARIO",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00006685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051554487",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009914083",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051522586",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051009629",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051520364",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "051522586",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5836556",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oneonta, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.