Individual provider Active NPI

John Alva Long, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Birmingham, AL
National Provider Identifier
1861495384
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
14053 Issued in AL
Practice address
1000 19TH St S
Birmingham, AL 35205-4804
Phone
(205) 930-0700
Fax
(205) 930-9127
NPI assigned
May 30, 2005
Last updated
Apr 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 14053 AL Primary

Addresses

Primary practice location

1000 19TH St S
Birmingham, AL 35205-4804

Mailing address

1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700

Other identifiers 1

IdentifierTypeStateIssuer
000080153MedicaidAL

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
I20091202000002 AL Practitioner - Ophthalmology 8325142987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Ophthalmology Associates, P.C.Group PAC ID 5193616035, 8 clinicians

Practice addresses (Care Compare)

1000 19TH St S
Birmingham, AL 35205-4804
Phone (205) 930-0700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
89.7
Improvement activities
40
Cost
72.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Ophthalmology Associates, P.C. CurrentSince Jul 1, 1988 Accepting new patients
University of Alabama Ophthalmology Services Foundation Past Accepting new patients

Locations

1000 19th St S
Birmingham, AL 35205
Phone (205) 918-1205

Organizations & group practices 2

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1861495384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054804",
            "telephone_number": "205-930-0700",
            "fax_number": "205-930-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "JOHN",
        "middle_name": "ALVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AL",
            "license": "14053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000080153",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.