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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060628000212 | AL | Practitioner - Internal Medicine | 9436161858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27327 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Providence Healthcare Services | Current |
Accepting new patients | |
| Providence Healthcare Services | Internal Medicine | Current | Accepting new patients |
| Alabama Providence Healthcare Services | Internal Medicine | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009937369 | Medicaid | AL | |
| 51534817 | Other | AL | BLUE CROSS |
| 07730353 | Medicaid | MS |
NPI Registry JSON
{
"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
- Joncel Stephens
- Merle Rebecca Stephens
- Olivia Stephens
- Robert Brooks Stephens Jr.
- Selden Harbour Stephens III
- Michael Leonard Sternberg
- Habiyambere Sunzu Steve
- Steven a Oliver DMD LLC
- Britini Stevens
- Rachel Stevens
All providers in Mobile, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.