Individual provider Active NPI

Clifton Rodgers Vance, M.D.

  • Cardiovascular Disease Physician
  • Alabaster, AL
National Provider Identifier
1649378365
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
24308 Issued in AL
Practice address
1022 1St St N Ste 500
Alabaster, AL 35007-8740
Phone
(205) 663-5775
Fax
(205) 664-2112
NPI assigned
Sep 20, 2006
Last updated
Jul 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2004013314 MO
Cardiovascular Disease Physician 207RC0000X 04-31258 KS
Cardiovascular Disease Physician 207RC0000X 24308 AL Primary

Addresses

Primary practice location

1022 1St St N Ste 500
Alabaster, AL 35007-8740

Mailing address

1022 1St St N Ste 500
Alabaster, AL 35007-8740
Phone (205) 663-5775

Other identifiers 1

IdentifierTypeStateIssuer
009942500MedicaidAL

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
I20040121000955 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496657439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart South Cardiovascular Group, P.C.Group PAC ID 3476455668, 22 clinicians

Practice addresses (Care Compare)

2022 Brookwood Med Ctr
Suite 412
Birmingham, AL 35209-2613
Phone (205) 877-2838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24308ALMDCardiovascular Disease Physician
04-31258KSMDCardiovascular Disease Physician
2004013314MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart South Cardiovascular Group, P.C. Cardiovascular Disease CurrentSince Jul 1, 2007 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients
BHC - Montclair Hospitalist PastSince Aug 1, 2001 Accepting new patients
Baptist Health System, Inc. PastSince Apr 1, 1996 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1649378365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078740",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078740",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "CLIFTON",
        "middle_name": "RODGERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004013314",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "04-31258",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "24308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942500",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.