Individual provider Active NPI

Carolyn Elise Kezar, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Birmingham, AL
National Provider Identifier
1861837155
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
34313 Issued in AL
Practice address
3686 Grandview Pkwy
Suite 810
Birmingham, AL 35243
Phone
(205) 971-5745
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34313 AL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 34313 AL Primary

Addresses

Primary practice location

3686 Grandview Pkwy
Suite 810
Birmingham, AL 35243

Mailing address

840 Montclair Rd.
Suite 317
Birmingham, AL 35213-1944

Other practice location 1

933 19th St S
Birmingham, AL 35205-3703
Phone (205) 934-3411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckezar@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34313ALMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC CurrentSince May 1, 2016 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2018 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince May 1, 2016 Accepting new patients
Baptist Health System, Inc. Internal Medicine Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

3686 Grandview Pkwy
Ste 810
Birmingham, AL 35243
Phone (205) 971-2565

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

619 19th St S
Birmingham, AL 35249

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

Interoperability endpoints

  • Direct secure messaging: ckezar@direct.uabmedicine.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1861837155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MONTCLAIR RD.",
            "address_2": "SUITE 317",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 GRANDVIEW PKWY",
            "address_2": "SUITE 810",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-971-5745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352053703",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEZAR",
        "first_name": "CAROLYN",
        "middle_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "34313",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "AL",
            "license": "34313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckezar@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "933 19th St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352053703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.