Individual provider Active NPI

Ian Flaniken

  • Pediatrics Physician
  • Alabaster, AL
National Provider Identifier
1811317902
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34735 Issued in AL
Practice address
1022 1St St N Ste 102
Alabaster, AL 35007-8710
Phone
(205) 663-9550
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 34735 AL Primary

Addresses

Primary practice location

1022 1St St N Ste 102
Alabaster, AL 35007-8710

Mailing address

5295 Preserve Pkwy Ste 100
Hoover, AL 35244-4702

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 638-9589

Other identifiers 1

IdentifierTypeStateIssuer
197201MedicaidAL

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
I20140602001678 AL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5799908265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34735ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Hospital of Alabama Pediatrics Past Accepting new patients
The Children'S Hospital of Alabama Past Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
The Children'S Hospital of Alabama Pediatrics Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811317902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5295 PRESERVE PKWY STE 100",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 102",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078710",
            "telephone_number": "205-663-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-638-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANIKEN",
        "first_name": "IAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "34735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197201",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.