Individual provider Active NPI

Philip Alan Hake, P.A.

  • Medical Physician Assistant
  • Vestavia, AL
National Provider Identifier
1730350323
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-568 Issued in AL
Practice address
2871 Acton Rd Ste 100
Vestavia, AL 35243-2560
Phone
(205) 716-6900
Fax
(205) 971-5438
NPI assigned
Mar 21, 2008
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-568 AL Primary
Surgical Physician Assistant 363AS0400X PA568 AL
Surgical Physician Assistant 363AS0400X PA.568 AL

Addresses

Primary practice location

2871 Acton Rd Ste 100
Vestavia, AL 35243-2560

Mailing address

3523 Rockcliff Cir
Mountain BRK, AL 35210-3030
Phone (205) 641-5952

Other identifiers 1

IdentifierTypeStateIssuer
109941MedicaidAL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000737 AL Practitioner - Physician Assistant 4082784673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

309 E Glenwood Dr
Homewood, AL 35209-5433

5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831

PO Box
Franklin, TN 37068

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-568ALMDMedical Physician Assistant
PA.568ALMDSurgical Physician Assistant
PA568ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC CurrentSince Apr 1, 2021 Accepting new patients
Trinity Emergency Physicians LLC CurrentSince Nov 1, 2015 Accepting new patients
Auburn Spine & Neurosurgery Center, PC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • Direct secure messaging: pahake@direct.uabmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1730350323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 ROCKCLIFF CIR",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352103030",
            "telephone_number": "205-641-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2871 ACTON RD STE 100",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432560",
            "telephone_number": "205-716-6900",
            "fax_number": "205-971-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "PHILIP",
        "middle_name": "ALAN",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-568",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA568",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA.568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109941",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.