Ilgizar Hart, MD
Individual provider Active NPI Internal Medicine Physician · Birmingham, AL
NPI 1700523172 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1700523172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- LL87648 (SC)
- Practice address
- 2000 6TH Ave S
Birmingham, AL 35233-2110 - Phone
- (205) 934-9999
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20250605001160 | AL | Practitioner - Internal Medicine | 5597133280 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL87648 | SC | Yes |
Addresses
Primary practice location
2000 6TH Ave S
Birmingham, AL 35233-2110
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-2731
Other names
- Ilgizar Khairutdinov
Other providers in Birmingham, AL
- Alicia Hart-Wilson
- Amanda Lucille Hart
- Audra M Hart
- Elizabeth Leary Hart
- Ella Rochelle Hart
- Lucy Hart
- Susan Ladonna Hart
- Nneka L Hartfield
- Jason Hartig
- Amelia Anne Hartje
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 May 14, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.