Individual provider Active NPI

Paul G Israel, MD

  • Pediatric Cardiology Physician
  • Huntsville, AL
National Provider Identifier
1639106503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
12400 Issued in AL
Practice address
303 Williams Ave
Ste 1121
Huntsville, AL 35801-4249
Phone
(256) 536-1081
Fax
(256) 536-1082
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 12400 AL Primary

Addresses

Primary practice location

303 Williams Ave
Ste 1121
Huntsville, AL 35801-4249

Mailing address

303 Williams Ave
Ste 1121
Huntsville, AL 35801-4249
Phone (256) 536-1081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12400ALMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Professional Fee Component Past Accepting new patients
Pediatric Cardiology Asso. P.C. Pediatric Cardiology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639106503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE",
            "address_2": "STE 1121",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014249",
            "telephone_number": "256-536-1081",
            "fax_number": "256-536-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WILLIAMS AVE",
            "address_2": "STE 1121",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014249",
            "telephone_number": "256-536-1081",
            "fax_number": "256-536-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "PAUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AL",
            "license": "12400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.