Individual provider Active NPI

Leonard Ou-Tim, MD

  • Gastroenterology Physician
  • Alabaster, AL
National Provider Identifier
1790761153
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
10226 Issued in AL
Practice address
1010 1St St N
Ste 301
Alabaster, AL 35007-8608
Phone
(205) 620-8358
Fax
(205) 620-8359
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 10226 AL Primary

Addresses

Primary practice location

1010 1St St N
Ste 301
Alabaster, AL 35007-8608

Mailing address

1010 1St St N
Ste 301
Alabaster, AL 35007-8608
Phone (205) 620-8358

Other identifiers 1

IdentifierTypeStateIssuer
428400180MedicaidAL

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
I20080909000296 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 7416915814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers, LLC CurrentSince Feb 1, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Feb 1, 2018 Accepting new patients
Birmingham Gastroenterology Associates PC Gastroenterology Past Accepting new patients
Birmingham Gastroenterology Associates PC Past Accepting new patients

Locations

1010 1st St N
Ste 301
Alabaster, AL 35007
Phone (205) 620-8358

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3400 Highway 78 E
Ste 406
Jasper, AL 35501
Phone (205) 221-6767

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1790761153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 1ST ST N",
            "address_2": "STE 301",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078608",
            "telephone_number": "205-620-8358",
            "fax_number": "205-620-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1ST ST N",
            "address_2": "STE 301",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078608",
            "telephone_number": "205-620-8358",
            "fax_number": "205-620-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU-TIM",
        "first_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "10226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428400180",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.