Individual provider Active NPI

Jack W Aland, M.D.

  • Otolaryngology Physician
  • Birmingham, AL
National Provider Identifier
1649284308
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11733 Issued in AL
Practice address
833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606
Phone
(205) 933-9236
Fax
(205) 933-9213
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 11733 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606

Mailing address

833 Saint Vincents Dr
Pob# 3 Suite 402
Birmingham, AL 35205-1606
Phone (205) 933-9236

Other identifiers 1

IdentifierTypeStateIssuer
000018036MedicaidAL

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
I20100825000539 AL Practitioner - Otolaryngology 1153415500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
90.13
Promoting interoperability
100
Improvement activities
40
Cost
77.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11733ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Associates of Alabama, P.C. Otolaryngology CurrentSince Jul 1, 1998 Accepting new patients

Locations

833 Saint Vincents Dr
Ste 402
Birmingham, AL 35205
Phone (205) 212-3540

931 Sharit Ave
Ste 101
Gardendale, AL 35071
Phone (205) 581-8820

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01A0
  • bcbs alabama network 01I0
  • bcbs alabama network 01G0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01C0

Interoperability endpoints

  • Direct secure messaging: jaland@entalabama.emadirect.md

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1649284308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "POB# 3 SUITE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "address_2": "POB# 3 SUITE 402",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-933-9236",
            "fax_number": "205-933-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAND",
        "first_name": "JACK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "11733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018036",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.