Active NPI
Matthew Gerard Vicinanzo, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 25771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051520716 | 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: Yes
Enrollment records 1
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
Practice addresses (Care Compare)
1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700
Hospital & facility affiliations
- University of Alabama Hospital
- Huntsville Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.49 of 100
- Quality
- 89.7
- Improvement activities
- 40
- Cost
- 72.05
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 79 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25771 | AL | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Ophthalmology Associates, P.C. | Current | 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.
-
- Ophthalmology Physician
- Birmingham, AL
- NPI 1366484941
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.