Hiboombe M Haamankuli, CRNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-111413 Issued in AL

Practice address

185 Mitylene Park Lane
Montgomery, AL 36117

Phone

(334) 387-0948

Fax

(334) 387-0955

NPI assigned

Jun 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Eastern Hospital Medicine PCGroup PAC ID 8325044597, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Vincent'S East Hospital, Birmingham, AL, CCN 010011

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Urology Centers of Alabama PC

  • Urology Physician
  • Homewood, AL
  • NPI 1710962550
  Medicare reassignment Care Compare group NPD
• Eastern Hospital Medicine PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1104859123
  Medicare reassignment Care Compare group
• Oak Mountain Group Services, LLC

  • Hospitalist Physician
  • Birmingham, AL
  • NPI 1366840761
  Medicare reassignment NPD
• Vincentian Physician Services LLC

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1851698310
  Medicare reassignment NPD
• Oak Mountain Group Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vestavia Hills, AL
  • NPI 1609321165
  NPD
• Urology Centers of Alabama PC

  • Community/Retail Pharmacy
  • Homewood, AL
  • NPI 1023861796
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent'S East

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841308020
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1780970665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LANE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LANE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAMANKULI",
        "first_name": "HIBOOMBE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-111413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchi Gupta, M.D.
• Vikas Gupta, MD
• Carl Gustafson, PT
• Allison W Guy, NP
• Hayley Gwin
• Mavia Habib
• John E Hackman, M.D.
• Charles Matthew Hadley, PHARMD
• Roy T Hager, MD
• Darla Denise Hahn, CCC-SLP

• Acute Care Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.