Individual provider Active NPI

Michael Joseph Sibel, D.O.

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1962768606
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1867 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249
Phone
(205) 934-4011
Fax
(205) 297-9411
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102204681 VA
Emergency Medicine Physician 207P00000X OS016718 PA
Emergency Medicine Physician 207P00000X 1867 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other practice location 1

77 Nealy Ave
Hampton, VA 23665
Phone (757) 764-6800

Other practice location 2

77 Nealy Ave
Hampton, VA 23665
Phone (757) 764-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AL, MD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170414000078 VA Practitioner - Emergency Medicine 6608191614 Reassigns benefits to 1 organization
I20181012001242 AL Practitioner - Emergency Medicine 6608191614 Reassigns benefits to 1 organization
I20211123002752 MD Practitioner - Emergency Medicine 6608191614 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Nov 1, 2021 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince Aug 10, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2018 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Mar 1, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • Direct secure messaging: msibel840668@direct.umm.edu

Organizations & group practices 6

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1962768606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35249",
            "telephone_number": "205-934-4011",
            "fax_number": "205-297-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Nealy Ave",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "23665",
            "country_code": "US",
            "telephone_number": "757-764-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 Nealy Ave",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "23665",
            "country_code": "US",
            "telephone_number": "757-764-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIBEL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102204681",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS016718",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.