Individual provider Active NPI

Kelli Noelle Chaviano, D.O.

  • Pediatric Rehabilitation Medicine Physician
  • Birmingham, AL
National Provider Identifier
1750795209
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X
License
DO.2901 Issued in AL
Practice address
1600 7TH Ave S
Birmingham, AL 35233-1711
Phone
(205) 638-9790
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO.2901 AL
Pediatric Rehabilitation Medicine Physician 2081P0010X DO.2901 AL Primary

Addresses

Primary practice location

1600 7TH Ave S
Birmingham, AL 35233-1711

Mailing address

1600 7TH Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9790

Other practice location 1

200 Oslo Cir
Birmingham, AL 35211-5937
Phone (205) 944-3944

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
I20220613000544 AL Practitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 3678998002 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.2901ALMDPediatric Rehabilitation Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Jul 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 9, 2023 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 9, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

703 Volker Hall
Birmingham, AL 35294
Phone (205) 638-9587

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100

1201 11th Ave S
Ste 300
Birmingham, AL 35205

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

Interoperability endpoints

  • Direct secure messaging: kchaviano25529@childrensofalabama.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1750795209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-638-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Oslo Cir",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352115937",
            "country_code": "US",
            "telephone_number": "205-944-3944",
            "fax_number": "205-316-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVIANO",
        "first_name": "KELLI",
        "middle_name": "NOELLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "DO.2901",
            "primary": false
        },
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "AL",
            "license": "DO.2901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.