Individual provider Active NPI

Kevin Scott Giadrosich, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Hoover, AL
National Provider Identifier
1700839255
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25019 Issued in AL
Practice address
2112 Rocky Ridge Rd Ste 200
Hoover, AL 35216-5531
Phone
(205) 545-8550
Fax
(205) 822-0136
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 25019 AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25019 AL Primary

Addresses

Primary practice location

2112 Rocky Ridge Rd Ste 200
Hoover, AL 35216-5531

Mailing address

PO Box 830230
Birmingham, AL 35283-0230
Phone (205) 250-6000

Other identifiers 1

IdentifierTypeStateIssuer
051554841MedicaidAL

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
I20040713001368 AL Practitioner - Pathology 4284612326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrocare PCGroup PAC ID 4981687712, 5 clinicians

Practice addresses (Care Compare)

120 Rice Mine Rd N
Tuscaloosa, AL 35406-3901
Phone (205) 752-1175

2112 Rocky Ridge Rd
Suite 200
Hoover, AL 35216-5531
Phone (205) 438-6290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25019ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Giadrosich MD PC Anatomic Pathology & Clinical Pathology CurrentSince May 25, 2025 Accepting new patients
Norwood Clinic Inc CurrentSince Jul 1, 2004 Accepting new patients
Birmingham Internal Medicine Associates, LLC CurrentSince Dec 31, 2022 Accepting new patients

Locations

2244 North Rd
Gardendale, AL 35071
Phone (205) 418-1080

2112 Rocky Ridge Rd
Ste 200
Hoover, AL 35216
Phone (205) 438-6290

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25282/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1700839255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830230",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352830230",
            "telephone_number": "205-250-6000",
            "fax_number": "205-250-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 ROCKY RIDGE RD STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352165531",
            "telephone_number": "205-545-8550",
            "fax_number": "205-822-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIADROSICH",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "AL",
            "license": "25019",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "25019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554841",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.