Active NPI
Mark David Moglowsky, MD
- Gastroenterology Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD.31660
- Practice address
- 119 Longwood Dr SW
Huntsville, AL 35801-4522 - Phone
- (256) 533-6488
- Fax
- (256) 533-6495
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 032157 | IA | |
| Gastroenterology Physician | 207RG0100X | ME99163 | FL | |
| Gastroenterology Physician | 207RG0100X | 31469 | WI | |
| Gastroenterology Physician | 207RG0100X | MD.31660 | AL | Primary |
Addresses
Primary practice location
119 Longwood Dr SW
Huntsville, AL 35801-4522
Mailing address
PO Box 2324
Birmingham, AL 35201-2324
Phone (256) 533-7064
Other practice location 1
2007 Gallatin St SW
Huntsville, AL 35801-4561
Phone (256) 519-2919
Other practice location 2
460 Lanier Rd Ste 201
Madison, AL 35758-2632
Phone (256) 519-2890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139181 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 58.82 of 100
- Quality
- 71.11
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 74.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.31660 | AL | MD | Gastroenterology Physician |
| 032157 | IA | MD | Gastroenterology Physician |
| 31469 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Heca, LLC | Past | Accepting new patients | |
| Alabama Digestive Disorders Center, PC | Gastroenterology | Past | Accepting new patients |
| River Parishes Physician Practices LLC | Past | Accepting new patients |
Locations
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCJJAA
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Gastroenterology Physician
- Huntsville, AL
- NPI 1912946385
-
- Certified Registered Nurse Anesthetist
- Huntsville, AL
- NPI 1336683135
-
- Family Medicine Physician
- La Place, LA
- NPI 1669592218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1679527485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2324",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352012324",
"telephone_number": "256-533-7064",
"fax_number": "256-704-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LONGWOOD DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014522",
"telephone_number": "256-533-6488",
"fax_number": "256-533-6495"
}
],
"practiceLocations": [
{
"address_1": "2007 Gallatin St SW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358014561",
"country_code": "US",
"telephone_number": "256-519-2919",
"fax_number": "256-519-2887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "460 Lanier Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "AL",
"postal_code": "357582632",
"country_code": "US",
"telephone_number": "256-519-2890",
"fax_number": "256-428-0468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOGLOWSKY",
"first_name": "MARK",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "032157",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME99163",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "31469",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AL",
"license": "MD.31660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139181",
"state": "AL"
}
],
"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 Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.