Active NPI
Douglas James Minnich, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 28565
- Practice address
- 619 19TH Street South
Birmingham, AL 35233 - Phone
- (205) 934-4011
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 223522 | MA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 223522 | MA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 28565 | AL | Primary |
Addresses
Primary practice location
619 19TH Street South
Birmingham, AL 35233
Mailing address
833 Princeton Avenue SW
Pob III; Suite 200a
Birmingham, AL 35211
Phone (205) 786-2776
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009913902 | Medicaid | AL | |
| 051546485 | Other | AL | BCBS OF AL |
| Z08747 | Other | AL | VIVA |
| 009913903 | Medicaid | AL | |
| 051546484 | Other | AL | BCBS OF AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2018 Brookwood Medical Ctr Dr
Suite 215
Birmingham, AL 35209-6870
Phone (205) 877-2627
Hospital & facility affiliations
- Princeton Baptist Medical Center
- St Vincent'S Birmingham
- Baptist Health Brookwood Hospital
- Shelby Baptist Medical Center
- Walker Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 11 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223522 | MA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| STV Cardiothoracic Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Alabama Thoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients |
Locations
2018 Brookwood Medical Ctr Dr
Ste 215
Birmingham, AL 35209
Phone (205) 877-2627
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
833 Princeton Ave SW
Ste 210
Birmingham, AL 35211
Phone (205) 783-3740
2101 Highland Ave S
Ste 350
Birmingham, AL 35205
Phone (205) 558-2525
833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776
2018 Brookwood Medical Ctr Dr
Ste C214
Birmingham, AL 35209
Phone (205) 453-1100
2018 Brookwood Medical Ctr Dr
Ste 214C
Birmingham, AL 35209
2871 Acton Rd
Ste 100
Vestavia, AL 35243
Phone (205) 716-6900
Interoperability endpoints
- dminnich41979@baptisthealthaldirect.org
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Birmingham, AL
- NPI 1740978287
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Birmingham, AL
- NPI 1649624255
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1003260480
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
-
- General Acute Care Hospital
- Alabaster, AL
- NPI 1811341167
-
- General Acute Care Hospital
- Jasper, AL
- NPI 1932553385
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1841298999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1730162041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 PRINCETON AVENUE SW",
"address_2": "POB III; SUITE 200A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35211",
"telephone_number": "205-786-2776",
"fax_number": "205-786-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH STREET SOUTH",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35233",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINNICH",
"first_name": "DOUGLAS",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "223522",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MA",
"license": "223522",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "28565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913902",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "051546485",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "Z08747",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009913903",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "051546484",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.