NPIMap

Individual provider Active NPI

Larissa Harkacz, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1821443706
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.37862 Issued in AL
Practice address
625 19TH Street South
Birmingham, AL 35249
Phone
(334) 551-2033
NPI assigned
Apr 28, 2016
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.37862 AL Primary

Addresses

Primary practice location

625 19TH Street South
Birmingham, AL 35249

Mailing address

625 19TH Street South
Birmingham, AL 35249
Phone (334) 551-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306002151 AL Practitioner - Internal Medicine 4880958685 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.37862ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc Current Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 1, 2021 Accepting new patients
Baptist Health Centers, LLC CurrentSince Sep 3, 2020 Accepting new patients
Whatley Health Services, Inc CurrentSince Oct 1, 2021 Accepting new patients
Whatley Health Services, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Baptist Health Centers LLC CurrentSince Sep 3, 2020 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Oct 1, 2021 Accepting new patients
The DCH Healthcare Authority Past Accepting new patients

Locations

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

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

Interoperability endpoints

  • Direct secure messaging: larissa.harkacz.p1@direct.umc.nextgenshare.com
  • Direct secure messaging: lharkacz14360@southeasthealth.direct-ci.com

Organizations & group practices 10

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 4

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1821443706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "334-551-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 19TH STREET SOUTH",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "334-551-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKACZ",
        "first_name": "LARISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.37862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.