Individual provider Active NPI

Mathew Ryan Sapp, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Birmingham, AL
National Provider Identifier
1720023153
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
25429 Issued in AL
Practice address
2208 University Blvd Ste 101
Birmingham, AL 35233-2313
Phone
(205) 933-2625
Fax
(205) 558-2567
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25429 AL
Retina Specialist (Ophthalmology) Physician 207WX0107X 25429 AL Primary

Addresses

Primary practice location

2208 University Blvd Ste 101
Birmingham, AL 35233-2313

Mailing address

2101 Highland Ave S Ste 350
Birmingham, AL 35205-4009
Phone (205) 558-2525

Other identifiers 1

IdentifierTypeStateIssuer
009935936MedicaidAL

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
I20060508000976 AL Practitioner - Ophthalmology 5698786408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Specialists of Alabama LLCGroup PAC ID 7416930425, 7 clinicians
Retina Specialists of Alabama in Montgomery LLCGroup PAC ID 1759314495, 5 clinicians

Practice addresses (Care Compare)

20 Medical Ctr Dr
Jasper, AL 35501-3425
Phone (205) 265-2867

2055 Normandie Dr
Suite 314
Montgomery, AL 36111-2732
Phone (334) 263-0105

2208 University Blvd
Suite 101
Birmingham, AL 35233-2313
Phone (205) 933-2625

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25429ALMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Specialists of Alabama LLC Ophthalmology CurrentSince Jul 1, 2006 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Oct 1, 2019 Accepting new patients
Retina Specialists of West Alabama LLC Ophthalmology PastSince Nov 1, 2006 Accepting new patients

Locations

2208 University Blvd
Ste 101
Birmingham, AL 35233

1201 11th Ave S
Ste 300
Birmingham, AL 35205

2101 Highland Ave S
Ste 350
Birmingham, AL 35205
Phone (205) 558-2525

3686 Grandview Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 397-9400

20 Medical Center Dr
Ste 100
Jasper, AL 35501
Phone (205) 221-4705

1720 Hamric Dr E
Oxford, AL 36203

1720 Hamric Dr E
Ste 5
Oxford, AL 36203
Phone (256) 405-4106

Interoperability endpoints

  • Direct secure messaging: msapp@rsal.intellechartdirect.net

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.

Hospital & facility affiliations 2

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1720023153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHLAND AVE S STE 350",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054009",
            "telephone_number": "205-558-2525",
            "fax_number": "205-558-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 UNIVERSITY BLVD STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332313",
            "telephone_number": "205-933-2625",
            "fax_number": "205-558-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "MATHEW",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "25429",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AL",
            "license": "25429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935936",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.