Individual provider Active NPI

Rebecca P Conway, MD

  • Specialist
  • Huntsville, AL
National Provider Identifier
1821060575
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22033 Issued in AL
Practice address
2410 Commerce CT SW
Huntsville, AL 35801-5679
Phone
(256) 539-7722
Fax
(256) 539-1816
NPI assigned
Feb 6, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22033 AL Primary

Addresses

Primary practice location

2410 Commerce CT SW
Huntsville, AL 35801-5679

Mailing address

2410 Commerce CT SW
Huntsville, AL 35801-5679
Phone (256) 539-7722

Other identifiers 2

IdentifierTypeStateIssuer
0112088OtherUNITED HEALTH CARE
95717OtherALBLUE CROSS & BLUE SHIELD

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
I20100920000762 AL Practitioner - Family Practice 3072524867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine of Huntsville, PCGroup PAC ID 9032132071, 5 clinicians

Practice addresses (Care Compare)

2410 Commerce CT SW
Huntsville, AL 35801-5679

2410 Commerce SWCT
Huntsville, AL 35801-5679

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22033ALMDSpecialist

Interoperability endpoints

  • Direct secure messaging: rebecca.conway.1@31705.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1821060575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE CT SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015679",
            "telephone_number": "256-539-7722",
            "fax_number": "256-539-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE CT SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015679",
            "telephone_number": "256-539-7722",
            "fax_number": "256-539-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "REBECCA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "22033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0112088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "95717",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.