Individual provider Active NPI

Richard Stevens Martin, MD

  • Pediatric Radiology Physician
  • Birmingham, AL
National Provider Identifier
1780634048
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
00026827 Issued in AL
Practice address
1600 7TH Ave S
Acc Ste 306
Birmingham, AL 35233-1711
Phone
(205) 939-9336
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 00026827 AL Primary

Addresses

Primary practice location

1600 7TH Ave S
Acc Ste 306
Birmingham, AL 35233-1711

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274

Other identifiers 19

IdentifierTypeStateIssuer
105627MedicaidAL
515-30567OtherALBCBS AL
051531133OtherALBCBS AL (UAB)
515-30615OtherALBCBS AL
009934348MedicaidAL
009934349MedicaidAL
515-31169OtherALBCBS AL
630842160OtherALAETNA
009954352MedicaidAL
08483033MedicaidMS
511-61145OtherALBLUE CROSS
515-30837OtherALBCBS AL
515-30837OtherALBLUE CROSS
515-30575OtherALBCBS AL
515-90127OtherALBLUE CROSS
009934347MedicaidAL
009934182MedicaidAL
009934351MedicaidAL
515-99229OtherALBLUE CROSS

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
I20051011000890 AL Practitioner - Diagnostic Radiology 7810912615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 7TH Ave S
Acc 306
Birmingham, AL 35233-1711
Phone (205) 939-9730

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00026827ALMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Radiology Associates PC Pediatric Radiology CurrentSince Nov 14, 2005 Accepting new patients
Pediatric Radiology Associates, PC Pediatric Radiology CurrentSince Nov 14, 2005 Accepting new patients
Open MRI of Georgia, LLC PastSince Jan 1, 2010 Accepting new patients

Locations

1940 Elmer J Bissell Rd
Birmingham, AL 35243
Phone (205) 638-4949

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

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

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1600 7th Ave S
Ste 306
Birmingham, AL 35233
Phone (205) 939-9336

1600 7th Ave S
#306
Birmingham, AL 35233
Phone (205) 939-9730

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

7191 Cahaba Valley Rd
Hoover, AL 35242
Phone (205) 408-6555

Organizations & group practices 3

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1780634048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097718",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "ACC STE 306",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "STEVENS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "AL",
            "license": "00026827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105627",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-30567",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL (UAB)",
            "identifier": "051531133",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-30615",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934348",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934349",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-31169",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "630842160",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009954352",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08483033",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-61145",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-30837",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-30837",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "515-30575",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-90127",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934347",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934182",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934351",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "515-99229",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.