Individual provider Active NPI

Henry Christopher Semple, M.D.

  • Ophthalmology Physician
  • Mobile, AL
National Provider Identifier
1790779486
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00015365 Issued in AL
Practice address
2880 Dauphin St
Mobile, AL 36606-2457
Phone
(251) 473-1900
Fax
(251) 470-8943
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 00015365 AL Primary

Addresses

Primary practice location

2880 Dauphin St
Mobile, AL 36606-2457

Mailing address

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

Other identifiers 9

IdentifierTypeStateIssuer
00117805MedicaidMS
51506760OtherALBLUE CROSS AL PROVIDER #
51531198OtherALBLUE CROSS AL PROVIDER #
51514250OtherALBLUE CROSS AL PROV #
E24829OtherALHEALTHSPRING PROVIDER #
4125670OtherALAETNA PROVIDER #
51034509OtherALBLUE CROSS PROVIDER #
51506759OtherALBLUE CROSS AL PROVIDER #
0810062OtherALUNITED HEALTHCARE PROV. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060308000604 AL Practitioner - Ophthalmology 7012924541 Reassigns benefits to 1 organization
I20120201000121 MS Practitioner - Ophthalmology 7012924541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Management IncGroup PAC ID 6608869342, 55 clinicians

Practice addresses (Care Compare)

126 Alabama Ave W
Thomasville, AL 36784-3100
Phone (334) 636-2529

1302 US Hwy 98
Daphne, AL 36526-4256
Phone (251) 410-9000

1330 N McKenzie St
Foley, AL 36535-2232
Phone (251) 943-1512

2880 Dauphin St
Mobile, AL 36606-2457
Phone (251) 473-1900

2880 Dauphin St
Mobile, AL 36606-2494

3631 Bienville Blvd
Ocean Springs, MS 39564-5702
Phone (228) 875-2020

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
81.75
Promoting interoperability
77
Improvement activities
40
Cost
75.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00015365ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Management, Inc. Ophthalmology CurrentSince Apr 1, 1997 Accepting new patients
Premier Health Management, Inc. Ophthalmology CurrentSince Apr 1, 1997 Accepting new patients

Locations

1302 US Highway 98
Daphne, AL 36526
Phone (251) 410-9000

2880 Dauphin St
Mobile, AL 36606
Phone (251) 341-3368

126 Alabama Ave W
Thomasville, AL 36784
Phone (251) 473-1900

3631 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-0585

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1790779486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMPLE",
        "first_name": "HENRY",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00015365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117805",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AL PROVIDER #",
            "identifier": "51506760",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AL PROVIDER #",
            "identifier": "51531198",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AL PROV #",
            "identifier": "51514250",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER #",
            "identifier": "E24829",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4125670",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51034509",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AL PROVIDER #",
            "identifier": "51506759",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV. #",
            "identifier": "0810062",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.