Valley Internal Medicine and Pediatrics

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

VALLEY INTERNAL MEDICINE AND PEDIATRICS

Practice address

708 Will Halsey Way
Suite a
Madison, AL 35758-2565

Phone

(256) 325-7425

Fax

(256) 325-2465

NPI assigned

Nov 10, 2005

Last updated

Aug 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Akram Ibrahiem HaggagNPI 1083605190

Title

MD

Phone

(256) 325-7425

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Valley Internal Medic Pedi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Decatur, AL
  • NPI 1699168237
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Akram Ibrahiem Haggag, MD

  • Internal Medicine Physician
  • Madison, AL
  • NPI 1083605190
  Medicare reassignment Care Compare group NPD Authorized official
• Jared L Connor, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Madison, AL
  • NPI 1992122303
  Medicare reassignment Care Compare group NPD
• Nermein Mohamed Lotfy, MD

  • Pediatrics Physician
  • Madison, AL
  • NPI 1700852043
  Medicare reassignment Care Compare group NPD
• Amy Nicole Johnson, CRNP

  • Family Nurse Practitioner
  • Madison, AL
  • NPI 1942812011
  Medicare reassignment NPD
• Mandy M Starnes, CRNP

  • Nurse Practitioner
  • Madison, AL
  • NPI 1912728726
  Medicare reassignment NPD
• Ahmad Shikhtholth, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Decatur, AL
  • NPI 1902987431
  NPD
• Heidi Melissa Simpson, CRNP, RN

  • Family Nurse Practitioner
  • Madison, AL
  • NPI 1316258718
  NPD

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1851372460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582565",
            "telephone_number": "256-325-7425",
            "fax_number": "256-325-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582565",
            "telephone_number": "256-325-7425",
            "fax_number": "256-325-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERNAL MEDICINE AND PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "HAGGAG",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_middle_name": "IBRAHIEM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "256-325-7425"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922830",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giles Henry Vaden, MS
• Jazmine A Valdez
• Kristina Alya Valentin
• Valley Behavioral Services Inc
• Valley Family Care
• Valley View Health and Rehabilitation, LLC
• Valleyfamily Care
• Vallis LLC (Vallis Mental Health)
• Elizabeth Tunell Van Dorn, M.S., BCBA
• Leelasri Vanguru, MD

• Multi-Specialty Clinic/Center in Madison, AL
• Providers in Madison, AL by specialty
• Multi-Specialty Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.