Individual provider Active NPI

Ivan Andres Morales, MD

  • Vascular & Interventional Radiology Physician
  • Huntsville, AL
National Provider Identifier
1689167264
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
38927 Issued in AL
Practice address
2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 38927 AL Primary
Diagnostic Radiology Physician 2085R0202X 38927 AL

Addresses

Primary practice location

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537

Mailing address

2006 Franklin St SE Ste 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

Other identifiers 16

IdentifierTypeStateIssuer
330910MedicaidAL
331051MedicaidAL
331227MedicaidAL
331231MedicaidAL
331091MedicaidAL
331426MedicaidAL
331534MedicaidAL
331440MedicaidAL
331842MedicaidAL
331192MedicaidAL
331236MedicaidAL
330914MedicaidAL
331037MedicaidAL
331181MedicaidAL
331400MedicaidAL
332930MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240523002610 AL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7214379148 Reassigns benefits to 3 organizations
I20240711003705 TN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7214379148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of Hunstville PC 64 clinicians

Practice addresses (Care Compare)

106 Medical Ctr Blvd
Fayetteville, TN 37334-2684
Phone (256) 713-0647

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4537
Phone (256) 539-0457

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38927ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology of Hunstville PC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 14, 2024 Accepting new patients
Insight Imaging, Inc Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients

Locations

1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

2006 Franklin St SE
Ste 200
Huntsville, AL 35801
Phone (256) 538-0457

115 Saint Clair Ave SE
Huntsville, AL 35801
Phone (256) 519-3650

2003 Whitesburg Dr SE
#A
Huntsville, AL 35801
Phone (256) 536-3550

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8415 Wann Dr NW
Madison, AL 35758
Phone (256) 704-1210

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689167264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE STE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-0457",
            "fax_number": "256-539-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "IVAN",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AL",
            "license": "38927",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "38927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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        },
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        },
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            "code": "05",
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            "issuer": null,
            "identifier": "331227",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "331231",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "331091",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331426",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331534",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331440",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "331842",
            "state": "AL"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "331192",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331236",
            "state": "AL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330914",
            "state": "AL"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331037",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331181",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331400",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332930",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.