Individual provider Active NPI

Alexis Robert Penot, MD

  • Internal Medicine Physician
  • Decatur, AL
National Provider Identifier
1619952041
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28006 Issued in AL
Practice address
1201 7TH St SE
Decatur, AL 35601-3337
Phone
(256) 341-2909
Fax
(256) 341-2552
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39962 TN
Internal Medicine Physician 207R00000X 28006 AL Primary

Addresses

Primary practice location

1201 7TH St SE
Decatur, AL 35601-3337

Mailing address

PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 341-2909

Other practice location 1

1874 Beltline Rd SW # 150
Decatur, AL 35601-5514
Phone (256) 973-5400

Other identifiers 1

IdentifierTypeStateIssuer
3334311MedicaidTN

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
I20070516000479 AL Practitioner - Internal Medicine 5597799957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decatur Morgan Hospitalist GroupGroup PAC ID 6507002094, 24 clinicians

Practice addresses (Care Compare)

1201 7TH Street SE
Decatur, AL 35601-4023
Phone (256) 341-2332

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28006ALMDInternal Medicine Physician
39962TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Morgan Hospitalist Group Internal Medicine CurrentSince Feb 22, 2013 Accepting new patients
Decatur Morgan Primary Care CurrentSince Jan 13, 2024 Accepting new patients
Michael L. Putman, M.D., P.a. Internal Medicine Past Accepting new patients
Healthcare Authority of the City of Huntsville PastSince Aug 1, 2012 Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients
MTMC Hospitalist Services Past Accepting new patients
Northern Alabama Physicians, LLP PastSince Aug 1, 2012 Accepting new patients

Locations

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

1215 7th St SE
Decatur, AL 35601
Phone (256) 351-5400

1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000

1874 Beltline Rd SW
#150
Decatur, AL 35601
Phone (256) 350-0798

Organizations & group practices 7

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 2

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1619952041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-341-2909",
            "fax_number": "256-341-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 7TH ST SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013337",
            "telephone_number": "256-341-2909",
            "fax_number": "256-341-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1874 Beltline Rd SW # 150",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015514",
            "country_code": "US",
            "telephone_number": "256-973-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENOT",
        "first_name": "ALEXIS",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39962",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "28006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3334311",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.