Individual provider Active NPI

Michael A Cosgrove, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntsville, AL
National Provider Identifier
1750459616
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
29603 Issued in AL
Practice address
201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183
Phone
(256) 265-7246
Fax
(256) 666-8655
NPI assigned
Nov 30, 2006
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X EC-05-009 ME
Anesthesiology Physician 207L00000X MD29603 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X C1-6125 DE
Pain Medicine (Anesthesiology) Physician 207LP2900X 22757 MS
Pain Medicine (Anesthesiology) Physician 207LP2900X 29603 AL Primary

Addresses

Primary practice location

201 Governors Dr SW Ste 400
Huntsville, AL 35801-5183

Mailing address

PO Box 242848
Montgomery, AL 36124-2848

Other practice location 1

201 Governors Dr SW
Huntsville, AL 35801-5170
Phone (256) 265-7246

Other identifiers 3

IdentifierTypeStateIssuer
511-67941OtherALBCBS
8738368OtherALCIGNA
177119MedicaidAL

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
I20100520000042 AL Practitioner - Anesthesiology 6002945623 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Valley Pain Consultants, PCGroup PAC ID 1658657788, 6 clinicians
HH Tennessee Valley Pain CenterGroup PAC ID 4587075783, 33 clinicians

Practice addresses (Care Compare)

201 Governors Dr SW
Huntsville, AL 35801-5170

201 Governors Dr SW
Suite 400
Huntsville, AL 35801-5183
Phone (256) 265-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
14.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
48.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD29603ALMDAnesthesiology Physician
EC-05-009MEMDAnesthesiology Physician
29603ALMDPain Medicine (Anesthesiology) Physician
C1-6125DEMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Center CurrentSince Sep 1, 2015 Accepting new patients
Southern Alabama Surgery Center LLC Anesthesiology CurrentSince Jan 28, 2015 Accepting new patients
HH Tennessee Valley Pain Center CurrentSince Sep 1, 2022 Accepting new patients
Tennessee Valley Pain Consultants, PC Pain Medicine CurrentSince Aug 1, 2022 Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients
Coastal Hearing Center, LLC PastSince Aug 12, 2013 Accepting new patients

Locations

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

927 Franklin St SE
Fl 4
Huntsville, AL 35801

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
  • Direct secure messaging: michael.cosgrove.toc@toc.direct.systemedx.com

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.

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1750459616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOVERNORS DR SW STE 400",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015183",
            "telephone_number": "256-265-7246",
            "fax_number": "256-666-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Governors Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015170",
            "country_code": "US",
            "telephone_number": "256-265-7246",
            "fax_number": "256-666-7927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "EC-05-009",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD29603",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DE",
            "license": "C1-6125",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "22757",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "29603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-67941",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8738368",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177119",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.