Individual provider Active NPI

Jonathan D Siegel, MD

  • Specialist
  • Mobile, AL
National Provider Identifier
1639110224
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00025116 Issued in AL
Practice address
3601 Springhill Business Park Ste 201
Mobile, AL 36608-1263
Phone
(251) 873-6192
Fax
(251) 891-6193
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00025116 AL Primary

Addresses

Primary practice location

3601 Springhill Business Park Ste 201
Mobile, AL 36608-1263

Mailing address

3601 Springhill Business Park Ste 201
Mobile, AL 36608-1263
Phone (251) 873-6192

Other identifiers 2

IdentifierTypeStateIssuer
051534478MedicaidAL
051534478OtherALMEDICARE PTAN

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
I20060615000152 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 9436161379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gut PCGroup PAC ID 3375589799, 53 clinicians

Practice addresses (Care Compare)

3601 Spring Hill Business Park
Suite 201
Mobile, AL 36608
Phone (251) 873-6192

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy278
Upper gastrointestinal (GI) endoscopy for acid reflux230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025116ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gut PC CurrentSince May 1, 2021 Accepting new patients
Gut PC CurrentSince May 1, 2021 Accepting new patients

Locations

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192

Interoperability endpoints

  • Direct secure messaging: jonathansiegel@amgmd.allscriptsdirect.net

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 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1639110224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SPRINGHILL BUSINESS PARK STE 201",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081263",
            "telephone_number": "251-873-6192",
            "fax_number": "251-873-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SPRINGHILL BUSINESS PARK STE 201",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081263",
            "telephone_number": "251-873-6192",
            "fax_number": "251-891-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00025116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051534478",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "051534478",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.