Individual provider Active NPI

Indra A. Oldham, CRNP

  • Nurse Practitioner
  • Alabaster, AL
National Provider Identifier
1932533718
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-099211 Issued in AL
Practice address
1022 1St St N Ste 500
Alabaster, AL 35007-8740
Phone
(205) 663-5775
Fax
(205) 664-2112
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-099211 AL Primary

Addresses

Primary practice location

1022 1St St N Ste 500
Alabaster, AL 35007-8740

Mailing address

1022 1St St N Ste 500
Alabaster, AL 35007-8740
Phone (205) 663-5775

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000926 AL Practitioner - Nurse Practitioner 1850535154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart South Cardiovascular Group, P.C.Group PAC ID 3476455668, 22 clinicians

Practice addresses (Care Compare)

2022 Brookwood Med Ctr
Suite 412
Birmingham, AL 35209-2613
Phone (205) 877-2838

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-099211ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Dec 1, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 8, 2014 Accepting new patients
Heart South Cardiovascular Group, P.C. CurrentSince Apr 4, 2016 Accepting new patients
Anesthesiologists Associated PC CurrentSince Oct 1, 2016 Accepting new patients
Anesthesiologists Associated PC CurrentSince Oct 1, 2016 Accepting new patients

Locations

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

619 19th St S
Birmingham, AL 35249

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

3686 Grandview Pkwy
Ste 720
Birmingham, AL 35243
Phone (205) 971-3600

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

Organizations & group practices 5

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1932533718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078740",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 500",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078740",
            "telephone_number": "205-663-5775",
            "fax_number": "205-664-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "INDRA",
        "middle_name": "A.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-099211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.