NPIMap

Individual provider Active NPI

Farrell O Mendelsohn, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1770548307
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21745 Issued in AL
Practice address
801 Princeton Ave SW
Sute 706
Birmingham, AL 35211-1310
Phone
(205) 780-4330
Fax
(205) 780-7775
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21745 AL Primary

Addresses

Primary practice location

801 Princeton Ave SW
Sute 706
Birmingham, AL 35211-1310

Mailing address

801 Princeton Ave SW
Ste 707
Birmingham, AL 35211-1310
Phone (205) 780-4330

Other identifiers 1

IdentifierTypeStateIssuer
000077820MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000420 AL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 3476646662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Peripheral Vascular Disease
Education
Johns Hopkins University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology , PCGroup PAC ID 6204723752, 11 clinicians

Practice addresses (Care Compare)

801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1309
Phone (205) 780-4330

Hospital & facility affiliations

  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104
  • Whitfield Regional Hospital Hospital, Demopolis, AL, CCN 010112
  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035
  • Walker Baptist Medical Center Hospital, Jasper, AL, CCN 010089

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
93.68
Promoting interoperability
100
Improvement activities
40
Cost
73.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21745ALMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology , PC Cardiovascular Disease CurrentSince Jun 1, 1998 Accepting new patients
Nephrology Medical Associates of Georgia LLC Past Accepting new patients

Locations

801 Princeton Ave SW
Ste 707
Birmingham, AL 35211
Phone (205) 780-4330

Interoperability endpoints

  • Direct secure messaging: farrellmendelsohn@cpc.allscriptsdirect.net

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 5

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1770548307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW",
            "address_2": "SUTE 706",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111310",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "FARRELL",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "21745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000077820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.