Active NPI
Oxmoor Medical Group LLC
- Internal Medicine Physician
- Homewood, AL
National Provider Identifier
1639870264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OXMOOR MEDICAL GROUP LLC
- Practice address
- 1817 Oxmoor Rd
Homewood, AL 35209-3505 - Phone
- (205) 870-4030
- Fax
- (205) 870-4083
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Abroms
- Title
- Cfo
- Phone
- (561) 797-4741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1817 Oxmoor Rd
Homewood, AL 35209-3505
Mailing address
1817 Oxmoor Rd
Homewood, AL 35209-3505
Phone (205) 870-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230522001309 | AL | Part B Supplier - Clinic/Group Practice | 2264898063 |
Receives reassigned benefits from 7 practitioners Practice locations: Homewood, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2281447 | Oxmoor Medical Group LLC | Certificate of waiver | May 7, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/28567/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1932544459
AL, Internal Medicine
-
- Family Nurse Practitioner
- Birmingham, AL
- NPI 1649911652
AL, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680566400000",
"number": "1639870264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 OXMOOR RD",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352093505",
"telephone_number": "205-870-4030",
"fax_number": "205-870-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 OXMOOR RD",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352093505",
"telephone_number": "205-870-4030",
"fax_number": "205-870-4083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXMOOR MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A",
"authorized_official_last_name": "ABROMS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-797-4741"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.