Individual provider Active NPI

Roy Michael Culpepper, MD

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1760433767
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
7786 Issued in AL
Practice address
2451 Fillingim St
Mastin BLDG.
Mobile, AL 36617-2238
Phone
(251) 470-5890
Fax
(251) 471-7925
NPI assigned
May 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 7786 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Mastin BLDG.
Mobile, AL 36617-2238

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 470-5890

Other identifiers 6

IdentifierTypeStateIssuer
255610300MedicaidFL
000084096MedicaidAL
31-10085OtherALUNITED HEALTHCARE
1469777MedicaidLA
51084096OtherALBCBS
00121536MedicaidMS

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
I20050207000431 AL Practitioner - NephrologyPractitioner - Internal Medicine 6709837818 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7786ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
USA Health - Mci Business Services LLC Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama Current Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Organizations & group practices 7

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": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1760433767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "MASTIN BLDG.",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-470-5890",
            "fax_number": "251-471-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "ROY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-14",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "7786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255610300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084096",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "31-10085",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1469777",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51084096",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121536",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.