Organization Active NPI

Alabama Heart & Vascular, P. C.

  • Interventional Cardiology Physician
  • Birmingham, AL
National Provider Identifier
1700162278
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
29513 Issued in AL
Legal business name
ALABAMA HEART & VASCULAR, P. C.
Practice address
2022 Brookwood Medical Ctr Dr
Suite 403
Birmingham, AL 35209-6808
Phone
(205) 721-2777
Fax
(205) 721-2779
NPI assigned
Oct 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Authorized official

Name
Dr. Anabela Simon-Lee, M. D.NPI 1063444503
Title
Physician
Phone
(205) 721-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 29513 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Suite 403
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Suite 403
Birmingham, AL 35209-6808
Phone (205) 721-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000214 AL Part B Supplier - Clinic/Group Practice 5092989384 Receives reassigned benefits from 2 practitioners
Practice locations: Birmingham, AL; Homewood, AL

National Provider Directory

National Provider Directory

Locations

4600 Highway 280
#100
Birmingham, AL 35242
Phone (205) 721-2777

5915 Chalkville Rd
#100
Birmingham, AL 35235
Phone (205) 592-1020

2022 Brookwood Medical Ctr Dr
Ste 403
Birmingham, AL 35209
Phone (205) 721-2777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCHBA

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1700162278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-721-2777",
            "fax_number": "205-721-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-721-2777",
            "fax_number": "205-721-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA HEART & VASCULAR, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "SIMON-LEE",
        "authorized_official_first_name": "ANABELA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-721-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "29513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.