Individual provider Active NPI

Mark David Moglowsky, MD

  • Gastroenterology Physician
  • Huntsville, AL
National Provider Identifier
1679527485
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.31660 Issued in AL
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

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
139181MedicaidAL

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
I20120731000678 AL Practitioner - Gastroenterology 5395752067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
58.82 of 100Reported as group
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

LicenseStateTypeSpecialty
MD.31660ALMDGastroenterology Physician
032157IAMDGastroenterology Physician
31469WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Dec 18, 2023 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Dec 18, 2023 Accepting new patients
Heca, LLC Past Accepting new patients
Alabama Digestive Disorders Center, PC Gastroenterology PastSince Sep 7, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.