Active NPI
Clara V. Massey, MD
- Cardiovascular Disease Physician
- Mobile, AL
National Provider Identifier
1790723971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 15798
- Practice address
- 2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238 - Phone
- (251) 445-8242
- Fax
- (251) 445-8250
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15798 | AL | Primary |
Addresses
Primary practice location
2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 445-8242
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25-10237 | Other | AL | UNITED HEALTH CARE |
| 00121709 | Medicaid | MS | |
| 009935495 | Medicaid | AL | |
| 1550264 | Medicaid | LA | |
| 000086942 | Medicaid | AL | |
| 255663400 | Medicaid | FL | |
| 51518399 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15798 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health - Mci Business Services LLC | Current | Accepting new patients |
Locations
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
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.
-
- Hematology & Oncology Physician
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-
- Radiation Oncology Physician
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- NPI 1871150508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1790723971",
"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": "251-445-8242",
"fax_number": "251-445-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST",
"address_2": "BLDG. C",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-445-8242",
"fax_number": "251-445-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "CLARA",
"middle_name": "V.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "15798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "25-10237",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121709",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009935495",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1550264",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000086942",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255663400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51518399",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.