NPIMap

Organization Active NPI

Pinnacle Physician Group, LLP

  • Hospitalist Physician
  • Tuscaloosa, AL
National Provider Identifier
1609008176
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PINNACLE PHYSICIAN GROUP, LLP
Practice address
657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983
Phone
(205) 343-6979
Fax
(205) 490-2374
NPI assigned
Aug 18, 2009
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Oleksandra Kruhliakivska
Title
Business Manager
Phone
(205) 343-6979

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983

Mailing address

657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983
Phone (205) 343-6979

Other practice location 1

849 S Three Notch St
Andalusia, AL 36420-5325
Phone (205) 343-6979

Other practice location 2

1015 Medical Center Pkwy
Selma, AL 36701-6748
Phone (205) 343-6979 ext. 110

Other practice location 3

105 US Highway 80 E
Demopolis, AL 36732-3605
Phone (205) 343-6979 ext. 110

Other practice location 4

1530 US Highway 43
Winfield, AL 35594-5056
Phone (205) 343-6979 ext. 110

Other practice location 5

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 343-6979 ext. 110

Other practice location 6

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 343-6979 ext. 110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090908000472 AL Part B Supplier - Clinic/Group Practice 1254486699 Receives reassigned benefits from 44 practitioners
Practice locations: Demopolis, AL; Northport, AL; Selma, AL; Tuscaloosa, AL

National Provider Directory

National Provider Directory

Locations

1655 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 301-8930

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1609008176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-343-6979",
            "fax_number": "205-490-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-343-6979",
            "fax_number": "205-490-2374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "849 S Three Notch St",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205325",
            "country_code": "US",
            "telephone_number": "205-343-6979",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367016748",
            "country_code": "US",
            "telephone_number": "205-343-6979 x110",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 US Highway 80 E",
            "address_purpose": "LOCATION",
            "city": "Demopolis",
            "state": "AL",
            "postal_code": "367323605",
            "country_code": "US",
            "telephone_number": "205-343-6979 x110",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 US Highway 43",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "AL",
            "postal_code": "355945056",
            "country_code": "US",
            "telephone_number": "205-343-6979 x110",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012029",
            "country_code": "US",
            "telephone_number": "205-343-6979 x110",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354763360",
            "country_code": "US",
            "telephone_number": "205-343-6979 x110",
            "fax_number": "205-490-2374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINNACLE PHYSICIAN GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "KRUHLIAKIVSKA",
        "authorized_official_first_name": "OLEKSANDRA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "205-343-6979"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.