Individual provider Active NPI

Alberto Echeverri, M.D.,F.A.C.S.

  • Surgery Physician
  • Gadsden, AL
National Provider Identifier
1609837152
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00021657 Issued in AL
Practice address
900 Goodyear Ave
Suite B
Gadsden, AL 35903-1107
Phone
(256) 492-0020
Fax
(256) 492-0029
NPI assigned
Mar 31, 2006
Last updated
Dec 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00021657 AL Primary

Addresses

Primary practice location

900 Goodyear Ave
Suite B
Gadsden, AL 35903-1107

Mailing address

900 Goodyear Ave
Suite B
Gadsden, AL 35903-1107
Phone (256) 492-0020

Other identifiers 6

IdentifierTypeStateIssuer
000076949MedicaidAL
051076949OtherALBLUE CROSS/BLUE SHIELD
529203130OtherALMEDCAID
C12823OtherALRAILROAD MEDICARE
D570OtherALMEDICARE
P00401656OtherALRAILROAD MEDICARE

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
I20050310000629 AL Practitioner - General SurgeryPractitioner - Vascular Surgery 8729043146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Mastectomy1-10
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021657ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Regional Physician Group Practice LLC CurrentSince Feb 1, 2022 Accepting new patients
Gadsden Regional Medical Center LLC Past Accepting new patients
Allergy Associates, Inc Past Accepting new patients
Gadsden Regional Primary Care LLC Past Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1026 Goodyear Ave
Ste 300
Gadsden, AL 35903
Phone (256) 492-0020

900 Goodyear Ave
Ste B
Gadsden, AL 35903
Phone (256) 492-0020

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • Direct secure messaging: alberto.echeverri.1@1831.direct.athenahealth.com
  • Direct secure messaging: alberto.echeverri@saog.directbygreenway.com
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1609837152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-0020",
            "fax_number": "256-492-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031107",
            "telephone_number": "256-492-0020",
            "fax_number": "256-492-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRI",
        "first_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00021657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000076949",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051076949",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCAID",
            "identifier": "529203130",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C12823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "D570",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00401656",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.