Individual provider Active NPI

Rosemary Stowe Moak, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1720602170
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
49157 Issued in AL
Practice address
2001 Providence Park
Birmingham, AL 35242-4680
Phone
(205) 982-7220
Fax
(205) 407-4072
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 49157 AL Primary
Internal Medicine Physician 207R00000X LL84223 SC

Addresses

Primary practice location

2001 Providence Park
Birmingham, AL 35242-4680

Mailing address

2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220

Other practice location 1

5346 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-4584
Phone (205) 982-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230727003690 SC Practitioner - Internal Medicine 5698194751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
62.41
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
Alabama ENT & Allergy, PC CurrentSince Jul 27, 2026 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients

Locations

2001 Providence Park
Birmingham, AL 35242
Phone (205) 982-7220

5346 Stadium Trace Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 982-7220

169 Ashley Ave
#333
Charleston, SC 29425
Phone (843) 792-2575

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1720602170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-407-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-407-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5346 Stadium Trace Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444584",
            "country_code": "US",
            "telephone_number": "205-982-7220",
            "fax_number": "205-407-4072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOAK",
        "first_name": "ROSEMARY",
        "middle_name": "STOWE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "49157",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL84223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.