Agatha I Asuru, M.D.
Individual provider Active NPI Internal Medicine Physician · Birmingham, AL
NPI 1699722348 · NPPES record last updated Mar 30, 2011
Key facts
- NPI
- 1699722348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 24812 (AL)
- Practice address
- 2401 15TH Ave North
Birmingham, AL 35234 - Phone
- (205) 841-7760
- Fax
- (205) 212-5610
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 35
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Alabama School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franklin Primary Health Center, Inc.
Practice addresses (Care Compare)
1303 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-4117
1361 Dr Martin L King Jr Ave
Mobile, AL 36603-5341
Phone (251) 432-7189
1628 N McKenzie St
Suite 102
Foley, AL 36535-2275
Phone (251) 947-1083
424 S Wilson Ave
Prichard, AL 36610-3910
Phone (251) 452-1442
Hospital & facility affiliations
- Aveanna Home Health
- Saad Healthcare
- Enhabit Home Health
- Mobile Infirmary Medical Center
- USA Health Children'S & Women'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040908001287 | AL | Practitioner - Emergency Medicine |
8628044864 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00024812 | AL | MD | Internal Medicine Physician |
| 24812 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center, Inc | Current |
Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| HH Health System - Shoals LLC | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| HH Health System - Shoals LLC | Current |
Accepting new patients | |
| Shoals Pathology Services, LLC | Current | Accepting new patients | |
| Franklin Primary Health Center Inc. | Internal Medicine | Current | Accepting new patients |
| American Family Care, LLC | Current |
Accepting new patients | |
| Medexpress Red Bay LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| Franklin Primary Health Center, Inc | Internal Medicine | Current |
Accepting new patients |
| Colbert Co Northwest Al Healthcare Authority | Past | Accepting new patients | |
| Andalusia Emergency Physicians, LLC | Past | Accepting new patients | |
| Franklin Primary Health Center, Inc | Internal Medicine | Past | Accepting new patients |
| Mobile Infirmary Association | Past | Accepting new patients | |
| Physicians Medical Staffing LLC | Past | Accepting new patients | |
| Franklin Primary Health Center, Inc. | Internal Medicine | Past | Accepting new patients |
| Fayette Medical Center | Past | Accepting new patients | |
| Alabama Hma Physician Management, LLC | Internal Medicine | Past | Accepting new patients |
| Southern Medical Group, Inc | Past | Accepting new patients |
Locations
1910 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 255-0820
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1956 Duval St
Mobile, AL 36606
Phone (251) 234-0227
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
424 S Wilson Ave
Prichard, AL 36610
Phone (251) 452-1442
211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
17438 Hard Hat Dr
Covington, LA 70435
Phone (985) 249-5600
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
Interoperability endpoints
- aasuru374646@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 00024812 | AL | |
| Internal Medicine Physician | 207R00000X | 24812 | AL | Yes |
Addresses
Primary practice location
2401 15TH Ave North
Birmingham, AL 35234
Mailing address
P.O. Box 11523
Birmingham, AL 35202-1523
Phone (205) 212-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009934073 | Medicaid | AL |
Other providers in Birmingham, AL
- Association for Retarded Citizens Inc of Jefferson County
- Association for Retarded Citizens Inc of Jefferson County
- Assurance Home Care Services
- Asteria Specialty Pharmacy
- Geraldine P Aston
- At Peace Massage Therapy Clinic LLC
- Hirotaka Ata
- Jessica Ata
- Ihab Nader Tawfik Atallah
- John L Atchinson
All providers in Birmingham, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.