Individual provider Active NPI

Jay T Heidecker, M.D.

  • Pulmonary Disease Physician
  • Birmingham, AL
National Provider Identifier
1609817675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
00027302 Issued in AL
Practice address
2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1605
Phone
(205) 933-9258
Fax
(205) 933-6504
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 00027302 AL Primary

Addresses

Primary practice location

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1605

Mailing address

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1605
Phone (205) 933-9258

Other identifiers 1

IdentifierTypeStateIssuer
51535233OtherALBLUE CROSS

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
I20060718000375 AL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7517970403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of South Alabama College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Pulmonary Group LLCGroup PAC ID 1355616400, 26 clinicians

Practice addresses (Care Compare)

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1625
Phone (205) 933-9258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
80.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00027302ALMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STV Pulmonary Group LLC Pulmonary Disease CurrentSince Aug 1, 2017 Accepting new patients
NWMC Winfield Physicians LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

2660 10th Ave S
Ste 528
Birmingham, AL 35205
Phone (205) 933-9258

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

7191 Cahaba Valley Rd
Bldg 2
Hoover, AL 35242
Phone (205) 939-7100

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jay.heidecker@direct.birminghampulm.nextgenshare.com

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 3

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609817675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "SUITE 528",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-933-9258",
            "fax_number": "205-933-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 10TH AVE S",
            "address_2": "SUITE 528",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051605",
            "telephone_number": "205-933-9258",
            "fax_number": "205-933-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDECKER",
        "first_name": "JAY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "00027302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51535233",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.