Individual provider Active NPI

Donnelly B Howard, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1689613473
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25493 Issued in AL
Practice address
75 S University Blvd
Mobile, AL 36608-3271
Phone
(251) 660-5787
Fax
(251) 460-7923
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25493 AL
Internal Medicine Physician 207R00000X 25493 AL Primary

Addresses

Primary practice location

75 S University Blvd
Mobile, AL 36608-3271

Mailing address

3929 Airport Blvd # 1
Mobile, AL 36609-1987
Phone (251) 470-5842

Other identifiers 11

IdentifierTypeStateIssuer
009933117MedicaidAL
009933888MedicaidAL
1689613473OtherALTRICARE SOUTH
515-30686OtherALBCBS
009933116MedicaidAL
04-01555OtherALUNITED HEALTH CARE
51531245OtherALBLUE CROSS
510-04037OtherALBCBS
009937938MedicaidAL
07877352MedicaidMS
51531572OtherALBLUE CROSS

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
I20040910001084 AL Practitioner - Internal Medicine 5092782904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

75 S University Blvd
Suite 6000 a
Mobile, AL 36608-3271
Phone (251) 660-5787

Hospital & facility affiliations

  • Saad Healthcare Home health agency, Mobile, AL, CCN 017025
  • Infirmary Homecare Home health agency, Mobile, AL, CCN 017035
  • USA Health University Hospital Hospital, Mobile, AL, CCN 010087
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
  • USA Health Children'S & Women'S Hospital Hospital, Mobile, AL, CCN 013301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Providence Hospital Current Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Mobile, AL 36608
Phone (251) 471-7870

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

575 Stanton Rd
Mobile, AL 36617
Phone (251) 471-7207

Interoperability endpoints

  • Direct secure messaging: donnelly.howard.1@16253.direct.athenahealth.com

Organizations & group practices 2

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 6

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1689613473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD # 1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091987",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083271",
            "telephone_number": "251-660-5787",
            "fax_number": "251-460-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "DONNELLY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "25493",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "25493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933117",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933888",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1689613473",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-30686",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933116",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "04-01555",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51531245",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-04037",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937938",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07877352",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51531572",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.