Organization Active NPI

Retna a Billano LLC

Doing business as Heights Dermatology & Aesthetics

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1831555218
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
16012301 Issued in AL
Legal business name
RETNA A BILLANO LLC
Doing business as
Heights Dermatology & Aesthetics
Practice address
4325 Dolly Ridge Road
Birmingham, AL 35243-5701
Phone
(205) 591-2169
Fax
(205) 591-0815
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Retna A Billano, M.D.NPI 1033208541
Title
Owner/Physician
Phone
(205) 591-2169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 16012301 AL Primary

Addresses

Primary practice location

4325 Dolly Ridge Road
Birmingham, AL 35243-5701

Mailing address

4325 Dolly Ridge Road
Birmingham, AL 35243-5701
Phone (205) 591-2169

Other names 1

  • Heights Dermatology & Aesthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212002026 AL Part B Supplier - Clinic/Group Practice 9931403805 Receives reassigned benefits from 5 practitioners
Practice locations: Vestavia, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0301158Heights Dermatology & Aesthetics4325 Dolly Ridge Road, Vestavia, AL 35243Provider-performed microscopyOct 2, 2026

National Provider Directory

National Provider Directory

Locations

4325 Dolly Ridge Rd
Vestavia, AL 35243
Phone (205) 591-2169

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1831555218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 DOLLY RIDGE ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352435701",
            "telephone_number": "205-591-2169",
            "fax_number": "205-591-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 DOLLY RIDGE ROAD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352435701",
            "telephone_number": "205-591-2169",
            "fax_number": "205-591-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETNA A BILLANO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "BILLANO",
        "authorized_official_first_name": "RETNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "205-591-2169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "16012301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heights Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heights Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.