Individual provider Active NPI

Matthew Gerard Vicinanzo, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Birmingham, AL
National Provider Identifier
1740283266
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
25771 Issued in AL
Practice address
1000 19TH St S
Birmingham, AL 35205-4804
Phone
(205) 930-0700
Fax
(205) 930-9127
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 25771 AL Primary

Addresses

Primary practice location

1000 19TH St S
Birmingham, AL 35205-4804

Mailing address

1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700

Other identifiers 1

IdentifierTypeStateIssuer
051520716MedicaidAL

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
I20040603001080 AL Practitioner - Ophthalmology 1951383801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Ophthalmology Associates, P.C.Group PAC ID 5193616035, 8 clinicians

Practice addresses (Care Compare)

1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
89.7
Improvement activities
40
Cost
72.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25771ALMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Ophthalmology Associates, P.C. CurrentSince Jul 1, 2004 Accepting new patients

Locations

3686 Grandview Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 397-9400

1000 19th St S
Birmingham, AL 35205
Phone (205) 918-1205

4810 Whitesport Cir SW
Ste 110
Huntsville, AL 35801
Phone (256) 539-2531

7300 Halcyon Summit Dr
Montgomery, AL 36117

2055 Normandie Dr
Ste 314
Montgomery, AL 36111
Phone (334) 263-0105

Organizations & group practices 1

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 3

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1740283266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICINANZO",
        "first_name": "MATTHEW",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "25771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520716",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.