Individual provider Active NPI

Melton Ambrose III, M.D.

  • Anesthesiology Physician
  • Huntsville, AL
National Provider Identifier
1922462712
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36223 Issued in AL
Practice address
101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone
(256) 539-9471
NPI assigned
Apr 7, 2016
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 36223 AL Primary

Addresses

Primary practice location

101 Sivley Rd SW
Huntsville, AL 35801-4421

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4696

Other practice location 2

8375 Highway 72 W
Madison, AL 35758-9573
Phone (256) 539-9471

Other practice location 3

245 Governors Dr SE
Huntsville, AL 35801-2700
Phone (256) 539-9471

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
I20200528000644 AL Practitioner - Anesthesiology 1254626203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Anesthesia Services PCGroup PAC ID 8123081429, 43 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36223ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Anesthesia Services PC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

2006 Franklin St SE
Ste 301
Huntsville, AL 35801
Phone (256) 539-9471

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

709 Ward Ave NE
Huntsville, AL 35801
Phone (256) 539-9471

460 Lanier Rd
Ste 100
Madison, AL 35758
Phone (256) 319-9000

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Organizations & group practices 3

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 1

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1922462712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-539-9471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8375 Highway 72 W",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589573",
            "country_code": "US",
            "telephone_number": "256-539-9471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Governors Dr SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358012700",
            "country_code": "US",
            "telephone_number": "256-539-9471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "MELTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "36223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.