NPIMap

Individual provider Active NPI

Jennifer Sykora, M.D.

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1629208277
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30706 Issued in AL
Practice address
3 Medical Park Drive
Fairhope, AL 36532-2238
Phone
(251) 928-8804
Fax
(251) 990-9379
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30706 AL Primary

Addresses

Primary practice location

3 Medical Park Drive
Fairhope, AL 36532-2238

Mailing address

3 Medical Park Drive
Fairhope, AL 36532-1804
Phone (251) 928-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000797 AL Practitioner - Internal Medicine 9931356821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7552 Spanish Fort Blvd
Spanish Fort, AL 36527-5314
Phone (251) 626-8800

Hospital & facility affiliations

  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Centerwell Home Health Home health agency, Daphne, AL, CCN 017058
  • Centerwell Home Health Home health agency, Foley, AL, CCN 017052
  • Springhill Home Health and Hospice Home health agency, Mobile, AL, CCN 017066
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Merit-based Incentive Payment System (MIPS)

Final score
63.01 of 100Reported as individual
Quality
24.53
Improvement activities
40
Cost
77.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30706ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Group of the Eastern Shore, P.C. CurrentSince Sep 29, 2023 Accepting new patients

Locations

7552 Spanish Fort Blvd
Spanish Fort, AL 36527
Phone (251) 262-8800

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 10

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1629208277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DRIVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322238",
            "telephone_number": "251-928-8804",
            "fax_number": "251-990-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYKORA",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.