Individual provider Active NPI

Martin Lee Schwartz, M.D.

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1629031463
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12462 Issued in AL
Practice address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone
(205) 939-7855
Fax
(205) 824-8111
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12462 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Mailing address

2090 Columbiana Rd
Suite 4400
Birmingham, AL 35216-2153
Phone (205) 824-8000

Other practice location 1

30762 State Highway 181
Spanish Fort, AL 36527-5672
Phone (205) 824-8000

Other practice location 2

3280 Dauphin St Bldg A
Mobile, AL 36606-4060
Phone (205) 824-8000

Other identifiers 5

IdentifierTypeStateIssuer
051526105MedicaidAL
51526105OtherALBLUE CROSS/BLUE SHIELD
051526949MedicaidAL
51526107OtherALBLUE CROSS/BLUE SHIELD
51526949OtherALBLUE CROSS BLUE SHIELD

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
I20050311000498 AL Practitioner - Diagnostic Radiology 7618921651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12462ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2018 Accepting new patients
Alabama Sports Medicine and Ortho Center Past Accepting new patients
Andrews Sports Medicine and Orthopaedic Center Past Accepting new patients
American Health Imaging of Alabama LLC PastSince Oct 31, 2020 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

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

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

Organizations & group practices 4

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1629031463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA RD",
            "address_2": "SUITE 4400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162153",
            "telephone_number": "205-824-8000",
            "fax_number": "205-824-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-939-7855",
            "fax_number": "205-824-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30762 State Highway 181",
            "address_purpose": "LOCATION",
            "city": "Spanish Fort",
            "state": "AL",
            "postal_code": "365275672",
            "country_code": "US",
            "telephone_number": "205-824-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Dauphin St Bldg A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366064060",
            "country_code": "US",
            "telephone_number": "205-824-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "MARTIN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "12462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051526105",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51526105",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051526949",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51526107",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51526949",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.