Active NPI
Philip Alan Hake, P.A.
- Medical Physician Assistant
- Vestavia, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-568
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109941 | Medicaid | 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: No
Enrollment records 1
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 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-568 | AL | MD | Medical Physician Assistant |
| PA.568 | AL | MD | Surgical Physician Assistant |
| PA568 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC | Current | Accepting new patients | |
| Trinity Emergency Physicians LLC | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Emergency Medicine Physician
- Bessemer, AL
- NPI 1932298536
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1487669016
-
- Emergency Medicine Physician
- Trussville, AL
- NPI 1326750589
-
- Clinical Medical Laboratory
- Birmingham, AL
- NPI 1164617205
-
- Neurological Surgery Physician
- Auburn, AL
- NPI 1336215680
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grandview Medical Center
- General Acute Care Hospital
- Birmingham, AL
- NPI 1023061405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.