Individual provider Active NPI

Kelsey Sunderland Ivey, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1932469939
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.35853 Issued in AL
Practice address
301 Governors Dr SW
Huntsville, AL 35801
Phone
(256) 551-4543
Fax
(256) 551-4542
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD.35853 AL
Internal Medicine Physician 207R00000X MD.35853 AL Primary

Addresses

Primary practice location

301 Governors Dr SW
Huntsville, AL 35801

Mailing address

301 Governors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511

Other practice location 1

420 Lowell Dr SE Ste 301
Huntsville, AL 35801-3762
Phone (256) 265-7955

Other identifiers 1

IdentifierTypeStateIssuer
MP36022OtherALPROASSURANCE

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
I20170908002596 AL Practitioner - Infectious DiseasePractitioner - Internal Medicine 2466756317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Valley FoundationGroup PAC ID 0345130118, 31 clinicians

Practice addresses (Care Compare)

301 Govenors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.35853ALMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Valley Foundation CurrentSince Mar 1, 2019 Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511

Interoperability endpoints

  • Direct secure messaging: kelseyivey@uab.allscriptsdirect.net

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 and National Provider Directory roles.

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1932469939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-536-5511",
            "fax_number": "256-551-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-551-4543",
            "fax_number": "256-551-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Lowell Dr SE Ste 301",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358013762",
            "country_code": "US",
            "telephone_number": "256-265-7955",
            "fax_number": "256-265-7954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "KELSEY",
        "middle_name": "SUNDERLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "MD.35853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.35853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROASSURANCE",
            "identifier": "MP36022",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.