Individual provider Active NPI

Kelsey Taylor, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1720472863
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35779 Issued in AL
Practice address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone
(205) 292-2169
NPI assigned
Mar 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35779 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Mailing address

1304 Ingram Ave
Birmingham, AL 35213-1504
Phone (205) 292-2169

Other practice location 1

1700 Center St Cweb 1 Rm 1538
Mobile, AL 36688-0001
Phone (251) 415-1087

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
I20190925003283 AL Practitioner - Internal Medicine 7911205604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Children'S Urgent Care, LLC Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
St. Vincent'S Birmingham Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Organizations & group practices 3

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 3

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1720472863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 INGRAM AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131504",
            "telephone_number": "205-292-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-292-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St Cweb 1 Rm 1538",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366880001",
            "country_code": "US",
            "telephone_number": "251-415-1087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "35779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.