Individual provider Active NPI

Douglas James Minnich, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Birmingham, AL
National Provider Identifier
1730162041
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
28565 Issued in AL
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

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009913902MedicaidAL
051546485OtherALBCBS OF AL
Z08747OtherALVIVA
009913903MedicaidAL
051546484OtherALBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000382 AL Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology) 2062597339 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

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 Hospital, Birmingham, AL, CCN 010103
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux11
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223522MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
STV Cardiothoracic Surgeons LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 30, 2022 Accepting new patients
Alabama Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 1, 2023 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.