Individual provider Active NPI

C.Calvert Dodson III, M.D.

  • Internal Medicine Physician
  • Mountain BRK, AL
National Provider Identifier
1750493482
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14090 Issued in AL
Practice address
200 Office Park Dr
Suite 201
Mountain BRK, AL 35223-2418
Phone
(205) 599-3860
Fax
(205) 599-3869
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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 14090 AL Primary

Addresses

Primary practice location

200 Office Park Dr
Suite 201
Mountain BRK, AL 35223-2418

Mailing address

200 Office Park Dr
Suite 201
Mountain BRK, AL 35223-2418
Phone (205) 599-3860

Other identifiers 1

IdentifierTypeStateIssuer
051082025OtherALBLUE CROSS OF ALABAMA

Other names 1

  • Dr. Cal Dodson Other name

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
I20110322000852 AL Practitioner - Internal Medicine 1355380197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Associates, LLCGroup PAC ID 0446168694, shared by 3 NPIs, 17 clinicians

Practice addresses (Care Compare)

200 Montgomery Hwy
Vestavia Hills, AL 35216-1898
Phone (205) 822-0067

200 Office Park Dr
Mountain BRK, AL 35223-2455
Phone (205) 599-4860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
81.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14090ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Red Mountain Wellness and Internal Medicine PC Internal Medicine CurrentSince Apr 3, 2014 Accepting new patients
Affinity Physician Services LLC Past Accepting new patients

Locations

200 Office Park Dr
Ste 201
Mountain Brk, AL 35223
Phone (205) 599-4860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: c.dodson.1@12881.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1750493482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OFFICE PARK DR",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232418",
            "telephone_number": "205-599-3860",
            "fax_number": "205-599-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OFFICE PARK DR",
            "address_2": "SUITE 201",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232418",
            "telephone_number": "205-599-3860",
            "fax_number": "205-599-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "C.CALVERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "14090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "051082025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAL",
            "last_name": "DODSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.