Individual provider Active NPI

John K Sowell, MD

  • Dermatology Physician
  • Huntsville, AL
National Provider Identifier
1851376263
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
16249 Issued in AL
Practice address
4201 Balmoral Dr SW
Huntsville, AL 35801-6441
Phone
(256) 539-2741
Fax
(256) 539-2775
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 16249 AL Primary

Addresses

Primary practice location

4201 Balmoral Dr SW
Huntsville, AL 35801-6441

Mailing address

4201 Balmoral Dr SW
Huntsville, AL 35801-6441
Phone (256) 539-2741

Other identifiers 1

IdentifierTypeStateIssuer
51022719OtherALBCBS OF AL

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
I20111003000679 AL Practitioner - Dermatology 4880866474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates PAGroup PAC ID 2961425483, 5 clinicians

Practice addresses (Care Compare)

4021 Balmoral Dr SW
Huntsville, AL 35801-6403
Phone (256) 539-2741

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision57
Removal of skin lesions2337
Removal of nail tissue1-10
Removal or shaving of skin growth181
Skin biopsy605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16249ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates PA CurrentSince Jul 1, 1994 Accepting new patients

Locations

4021 Balmoral Dr SW
Huntsville, AL 35801
Phone (256) 382-0070

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01H0

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1851376263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016441",
            "telephone_number": "256-539-2741",
            "fax_number": "256-539-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BALMORAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016441",
            "telephone_number": "256-539-2741",
            "fax_number": "256-539-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWELL",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "16249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51022719",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.