Organization Active NPI

J. Michael Karst M.D., P.a.

  • Internal Medicine Physician
  • Montgomery, AL
National Provider Identifier
1750436895
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13546 Issued in AL
Legal business name
J. MICHAEL KARST M.D., P.A.
Practice address
4485 Atlanta Hwy
Montgomery, AL 36109-3102
Phone
(334) 272-4302
Fax
(334) 272-0195
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Ann Karst
Title
Office Manager
Phone
(334) 272-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 13546 AL Primary

Addresses

Primary practice location

4485 Atlanta Hwy
Montgomery, AL 36109-3102

Mailing address

4485 Atlanta Hwy
Montgomery, AL 36109-3102
Phone (334) 272-4302

Other identifiers 1

IdentifierTypeStateIssuer
200006016OtherTRAVELERS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100622000403 AL Part B Supplier - Clinic/Group Practice 6901937861 Receives reassigned benefits from 1 practitioner
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory

Locations

4485 Atlanta Hwy
Montgomery, AL 36109
Phone (334) 272-4302

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1750436895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093102",
            "telephone_number": "334-272-4302",
            "fax_number": "334-272-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 ATLANTA HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361093102",
            "telephone_number": "334-272-4302",
            "fax_number": "334-272-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL KARST M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "KARST",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-272-4302"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "13546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "200006016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.