Individual provider Active NPI

Donna Fico, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1750339057
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00024690 Issued in AL
Practice address
48 Medical Park Dr E
Ste 457
Birmingham, AL 35235-3400
Phone
(205) 838-3800
Fax
(205) 838-3206
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00024690 AL Primary

Addresses

Primary practice location

48 Medical Park Dr E
Ste 457
Birmingham, AL 35235-3400

Mailing address

48 Medical Park Dr E
Ste 457
Birmingham, AL 35235-3400
Phone (205) 838-3800

Other identifiers 1

IdentifierTypeStateIssuer
009971315MedicaidAL

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
I20041201001138 AL Practitioner - Internal Medicine 5799741724 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Physician Services - Southeast Professional CorporationGroup PAC ID 5597774554, 825 clinicians

Practice addresses (Care Compare)

1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-8100

Hospital & facility affiliations

  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016
  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00024690ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC Internal Medicine CurrentSince Jun 27, 2011 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Oct 15, 2016 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Oct 15, 2016 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 27, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Nov 29, 2021 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 27, 2019 Accepting new patients
BBH SBMC, LLC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

48 Medical Park Dr E
Ste 457
Birmingham, AL 35235
Phone (205) 838-3800

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

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

7191 Cahaba Valley Rd
Ste 300
Hoover, AL 35242
Phone (205) 930-2060

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

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

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1750339057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "STE 457",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-3800",
            "fax_number": "205-838-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MEDICAL PARK DR E",
            "address_2": "STE 457",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353400",
            "telephone_number": "205-838-3800",
            "fax_number": "205-838-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICO",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00024690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009971315",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.