Individual provider Active NPI

Gary D. Monheit, MD

  • MOHS-Micrographic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1942230248
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
6268 Issued in AL
Practice address
2100 16TH Ave S
Suite 202
Birmingham, AL 35205-5021
Phone
(205) 933-0987
Fax
(205) 930-1756
NPI assigned
Jul 3, 2006
Last updated
May 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 6268 AL Primary

Addresses

Primary practice location

2100 16TH Ave S
Suite 202
Birmingham, AL 35205-5021

Mailing address

2100 16TH Ave S
Suite 202
Birmingham, AL 35205-5021
Phone (205) 933-0987

Other identifiers 2

IdentifierTypeStateIssuer
51044454OtherALBCBS OF AL
070006495OtherALRAILROAD MEDICARE

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
I20130624000707 AL Practitioner - Dermatology 1153219688 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6268ALMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Skin & Beauty Dermatology Center, PC CurrentSince Oct 1, 1985 Accepting new patients
Skin Diagnostics Group, PC Past Accepting new patients

Locations

1927 1st Ave N
Ste 200
Birmingham, AL 35203
Phone (205) 933-0987

2100 16th Ave S
Ste 202
Birmingham, AL 35205
Phone (205) 933-0987

Interoperability endpoints

  • FHIR API: https://totalskin.mmi.prod.fhir.ema-api.com/fhir/r4/

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1942230248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONHEIT",
        "first_name": "GARY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51044454",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070006495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.