Individual provider Active NPI

Deborah Woltersdort Riemer, P.A.

  • Surgical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1841245115
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-117 Issued in AL
Practice address
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone
(205) 510-5000
Fax
(205) 599-9080
NPI assigned
May 24, 2006
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-117 AL Primary

Addresses

Primary practice location

3980 Colonnade Pkwy
Birmingham, AL 35243-2382

Mailing address

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 510-5000

Other practice location 1

1528 Carraway Blvd
Birmingham, AL 35234-1998
Phone (205) 250-6036

Other identifiers 1

IdentifierTypeStateIssuer
000033519MedicaidAL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000629 AL Practitioner - Physician Assistant 3476631011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 795-5390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-117ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Aug 1, 2019 Accepting new patients
Baptist Health Centers, LLC Past Accepting new patients
Cardiovascular Associates of the Southeast, L.L.C Past Accepting new patients

Locations

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

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

Interoperability endpoints

  • Direct secure messaging: driemer64570@baptisthealthaldirect.org

Organizations & group practices 3

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 2

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1841245115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000",
            "fax_number": "205-599-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000",
            "fax_number": "205-599-9080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1528 Carraway Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352341998",
            "country_code": "US",
            "telephone_number": "205-250-6036",
            "fax_number": "205-250-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "DEBORAH",
        "middle_name": "WOLTERSDORT",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA-117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033519",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.