Individual provider Active NPI

Kristin Berlin Madonia, MD

  • Ophthalmology Physician
  • Birmingham, AL
National Provider Identifier
1942477401
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.33728 Issued in AL
Practice address
250 State Farm Pkwy
Birmingham, AL 35209-7181
Phone
(205) 943-4600
Fax
(205) 943-4660
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 49706 TN
Ophthalmology Physician 207W00000X MD.33728 AL Primary

Addresses

Primary practice location

250 State Farm Pkwy
Birmingham, AL 35209-7181

Mailing address

200 Wildwood Pkwy Ste 100B
Birmingham, AL 35209-7300
Phone (205) 943-4600

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
I20150720001490 AL Practitioner - Ophthalmology 6800046376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Wildwood Pkwy
Suite 100a
Homewood, AL 35209-7300
Phone (205) 943-4600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.33728ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Madonia MD PC Ophthalmology CurrentSince Jul 24, 2013 Accepting new patients

Locations

250 State Farm Pkwy
Homewood, AL 35209
Phone (205) 943-4650

200 Wildwood Pkwy
Ste 100A
Homewood, AL 35209
Phone (205) 623-4200

200 Wildwood Pkwy
Ste 100B
Homewood, AL 35209

342 22nd Ave N
Nashville, TN 37203
Phone (615) 327-2001

Interoperability endpoints

  • Direct secure messaging: kristin.madonia@eyehealthpartners.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1942477401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILDWOOD PKWY STE 100B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097300",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4600",
            "fax_number": "205-943-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONIA",
        "first_name": "KRISTIN",
        "middle_name": "BERLIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "49706",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "MD.33728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.