Individual provider Active NPI

Ralph Lee Irvin Jr., MD

  • Pain Medicine (Anesthesiology) Physician
  • Mobile, AL
National Provider Identifier
1760482111
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
10744 Issued in AL
Practice address
820 S University Blvd BLDG 1
Mobile, AL 36609-7858
Phone
(251) 660-5900
Fax
(251) 660-5901
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 10744 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X 10744 AL Primary
Interventional Pain Medicine Physician 208VP0014X 10744 AL

Addresses

Primary practice location

820 S University Blvd BLDG 1
Mobile, AL 36609-7858

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 665-8200

Other identifiers 1

IdentifierTypeStateIssuer
276401MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100719000492 AL Practitioner - Pain Management 5092601948 Reassigns benefits to 2 organizations
I20240516000020 MS Practitioner - Anesthesiology 5092601948 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10744ALMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Current Accepting new patients
University of South Alabama CurrentSince May 1, 2018 Accepting new patients
Best Anesthesia, PLLC CurrentSince Nov 14, 2024 Accepting new patients
The Center for Pain of Montgomery LLC Interventional Pain Medicine CurrentSince Jan 15, 2024 Accepting new patients
Magnolia State Anesthesia Services, PLLC CurrentSince Apr 26, 2024 Accepting new patients
Memorial Hospital at Gulfport Interventional Pain Medicine CurrentSince Jan 22, 2025 Accepting new patients
The Center for Pain of Montgomery LLC Pain Medicine CurrentSince Jan 15, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jan 22, 2025 Accepting new patients
Memorial Hospital at Gulfport Interventional Pain Medicine Current Accepting new patients
University of South Alabama CurrentSince May 1, 2018 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients
Imc Mobile Medical Group Past Accepting new patients

Locations

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

855 Downtowner Blvd
Mobile, AL 36609

1601 Center St
Ste 3N
Mobile, AL 36604
Phone (251) 665-8251

3610 Springhill Memorial Dr N
#D
Mobile, AL 36608
Phone (251) 342-3000

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

3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630

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

2065 E South Blvd
Ste 401
Montgomery, AL 36116

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Fl Second
Gulfport, MS 39501
Phone (228) 865-3281

2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006

Networks

  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01I0
  • bcbs alabama network 01G0

Organizations & group practices 12

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1760482111",
    "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": "251-665-8200",
            "fax_number": "251-665-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S UNIVERSITY BLVD BLDG 1",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366097858",
            "telephone_number": "251-660-5900",
            "fax_number": "251-660-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "RALPH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AL",
            "license": "10744",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "10744",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "10744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276401",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.