Individual provider Active NPI

Ted Daniel Klein, M.D.

  • Urology Physician
  • Mobile, AL
National Provider Identifier
1588930200
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35893 Issued in AL
Practice address
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone
(251) 433-1895
NPI assigned
Mar 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R7792 TX
Urology Physician 208800000X 35893 AL Primary

Addresses

Primary practice location

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510

Mailing address

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Other identifiers 2

IdentifierTypeStateIssuer
389796902MedicaidTX
389796901MedicaidTX

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
I20170801003575 AL Practitioner - Urology 4688976939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Associates of Mobile, P.a.Group PAC ID 3870497951, 60 clinicians

Practice addresses (Care Compare)

168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Phone (251) 433-1895

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
77.29
Promoting interoperability
100
Improvement activities
40
Cost
78.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35893ALMDUrology Physician
R7792TXMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: tedklein@uam.allscriptsdirect.net

Organizations & group practices 1

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 6

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1588930200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MOBILE INFIRMARY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073510",
            "telephone_number": "251-433-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TED",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "R7792",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "35893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389796902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389796901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.