Individual provider Active NPI

Frederick Spencer Gaskin, M.D.

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1790074854
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD.37040 Issued in AL
Practice address
833 Saint Vincents Dr
Birmingham, AL 35205
Phone
(205) 933-4640
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 MD.37040 AL Primary

Addresses

Primary practice location

833 Saint Vincents Dr
Birmingham, AL 35205

Mailing address

833 Saint Vincents Dr
Birmingham, AL 35205-1606
Phone (205) 933-4640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address frederickgaskin@southviewm.allscriptsdirect.net

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
I20181030003170 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345488136 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Group, PCGroup PAC ID 8729979794, 40 clinicians

Practice addresses (Care Compare)

833 Saint Vincents Dr
Suite 300
Birmingham, AL 35205-1612
Phone (205) 933-4640

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince Mar 1, 2020 Accepting new patients
Southview Medical Group, PC CurrentSince Aug 20, 2018 Accepting new patients
St Vincents Ambulatory Healthcare Network LLC CurrentSince May 15, 2019 Accepting new patients
Uab Southview LLC Past Accepting new patients

Locations

833 Saint Vincents Dr
Ste 500
Birmingham, AL 35205
Phone (205) 558-4067

833 Saint Vincents Dr
Ste 300
Birmingham, AL 35205
Phone (205) 933-4640

833 Saint Vincents Dr
Ste 502
Birmingham, AL 35205
Phone (205) 933-4400

7191 Cahaba Valley Rd
Ste 104
Hoover, AL 35242
Phone (205) 408-6600

7191 Cahaba Valley Rd
Ste 204
Hoover, AL 35242
Phone (205) 995-9163

Interoperability endpoints

  • Direct secure messaging: frederickgaskin@southviewm.allscriptsdirect.net

Organizations & group practices 4

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1790074854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051606",
            "telephone_number": "205-933-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-933-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "FREDERICK",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD.37040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frederickgaskin@southviewm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "833 Saint Vincents Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.