Active NPI
Kelli Noelle Chaviano, D.O.
- Pediatric Rehabilitation Medicine Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- DO.2901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2901 | AL | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
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
- Raghuram Chava, MD
- Ramakiran Venkata Chavali, B.D.S.
- Efren Alejandro Chavez Morales, MD
- Gabrielle Yvonne Chavez
- Oswaldo Hector Chavez, LPC-S, LMFT-S, LCDC
- Harshvardhan Chawla
- Cheaha Eye Associates, P.C.--Inverness
- Kadejia Cheatom, RN
- Susan Marie Cheatwood II, NURSE PRACTITIONER
- Emma Lee Chee-How, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.