Individual provider Active NPI

Phillip Madonia, M.D.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
National Provider Identifier
1871685917
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00009365 Issued in AL
Practice address
6701 Airport Blvd Ste B321
Mobile, AL 36608-6703
Phone
(251) 633-0793
Fax
(251) 633-0736
NPI assigned
Sep 28, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00009365 AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste B321
Mobile, AL 36608-6703

Mailing address

6701 Airport Blvd Ste B321
Mobile, AL 36608-6703
Phone (251) 633-0793

Other identifiers 2

IdentifierTypeStateIssuer
000011592MedicaidAL
510-11592OtherALBCBS-AL NUMBER

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
I20101006000710 AL Practitioner - Obstetrics/Gynecology 0941204663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Obstetrics and Gynecology PCGroup PAC ID 5799708228, 7 clinicians

Practice addresses (Care Compare)

6701 Airport Blvd
Suite B321
Mobile, AL 36608-6703
Phone (251) 633-0793

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00009365ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Obstetrics and Gynecology PC Obstetrics & Gynecology CurrentSince Nov 25, 1996 Accepting new patients
Trusted Doctors LLC PastSince Nov 25, 1996 Accepting new patients

Locations

6701 Airport Blvd
Ste B321
Mobile, AL 36608
Phone (205) 633-0793

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • Direct secure messaging: pmadonia@mobgyn.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1871685917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B321",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086703",
            "telephone_number": "251-633-0793",
            "fax_number": "251-633-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE B321",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086703",
            "telephone_number": "251-633-0793",
            "fax_number": "251-633-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONIA",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00009365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011592",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-AL NUMBER",
            "identifier": "510-11592",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.