Individual provider Active NPI

Donna Ward Kentros, MD

  • Pediatrics Physician
  • Birmingham, AL
National Provider Identifier
1619379666
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11993 Issued in AL
Practice address
500 Cahaba Park Cir Ste 100
Birmingham, AL 35242-8136
Phone
(205) 848-2273
Fax
(205) 848-2915
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11993 AL Primary

Addresses

Primary practice location

500 Cahaba Park Cir Ste 100
Birmingham, AL 35242-8136

Mailing address

500 Cahaba Park Cir Ste 100
Birmingham, AL 35242-8136
Phone (205) 848-2273

Other practice location 1

520 Montgomery Hwy
Vestavia Hills, AL 35216-1808
Phone (205) 848-2273

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
I20191226000167 AL Practitioner - Pediatric Medicine 1052745148 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11993ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC Pediatrics CurrentSince Sep 30, 2019 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

520 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 848-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1619379666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAHABA PARK CIR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428136",
            "telephone_number": "205-848-2273",
            "fax_number": "205-848-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAHABA PARK CIR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428136",
            "telephone_number": "205-848-2273",
            "fax_number": "205-848-2915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161808",
            "country_code": "US",
            "telephone_number": "205-848-2273",
            "fax_number": "205-848-2915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENTROS",
        "first_name": "DONNA",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.