Melville J. Sternberg, MD

Individual provider Active NPI Internal Medicine Physician · Mobile, AL

NPI 1861440604 · NPPES record last updated Jun 20, 2008

Key facts

NPI
1861440604
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
27327 (AL)
Practice address
3301 Knollwood Dr
Medical Park Four
Mobile, AL 36693-7003
Phone
(251) 660-5787
Fax
(251) 660-5792
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060628000212 AL Practitioner - Internal Medicine 9436161858 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27327ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services Current
since Jan 1, 2014
Accepting new patients
Providence Healthcare Services Internal Medicine Current Accepting new patients
Alabama Providence Healthcare Services Internal Medicine Current
since Jan 1, 2014
Accepting new patients
University of South Alabama Past Accepting new patients
Crescent City Physicians, Inc. Internal Medicine Past Accepting new patients
University of South Alabama Health Services Foundation Past Accepting new patients

Locations

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27327 AL Yes

Addresses

Primary practice location

3301 Knollwood Dr
Medical Park Four
Mobile, AL 36693-7003

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 470-5842

Other identifiers

IdentifierTypeStateIssuer
009937369MedicaidAL
51534817OtherALBLUE CROSS
07730353MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2008.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1861440604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-470-5842",
            "fax_number": "251-470-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 KNOLLWOOD DR",
            "address_2": "MEDICAL PARK FOUR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366937003",
            "telephone_number": "251-660-5787",
            "fax_number": "251-660-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNBERG",
        "first_name": "MELVILLE",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937369",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51534817",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07730353",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

All providers in Mobile, AL · Internal Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.