Individual provider Active NPI

Dariusz Adam Skladaniec, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1972552750
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27574 Issued in AL
Practice address
307 University Blvd N
HSB Suite 1200
Mobile, AL 36688-0002
Phone
(251) 460-7681
Fax
(251) 414-8227
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27574 AL Primary

Addresses

Primary practice location

307 University Blvd N
HSB Suite 1200
Mobile, AL 36688-0002

Mailing address

307 University Blvd N
HSB Suite 1200
Mobile, AL 36688-0002
Phone (251) 460-7681

Other identifiers 2

IdentifierTypeStateIssuer
630477348036OtherALTRICARE CHAMPUS
51537385OtherALBCBS-STUDENT HLTH

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
I20061211000197 AL Practitioner - Internal Medicine 1557360013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

1114 Shelton Beach Rd
Saraland, AL 36571-3016
Phone (251) 633-0123

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince May 31, 2022 Accepting new patients
Gmuc of Citronelle LLC CurrentSince Jun 15, 2023 Accepting new patients
Gmuc of Springhill LLC CurrentSince Jun 15, 2023 Accepting new patients
Gmuc of Saraland CurrentSince Jun 15, 2023 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jun 15, 2023 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jun 15, 2023 Accepting new patients
American Family Care, LLC CurrentSince May 31, 2022 Accepting new patients
University of South Alabama, Dept of Radiology Past Accepting new patients
Gwinnett Clinic LTD Past Accepting new patients
University of South Alabama Past Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 10

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1972552750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 UNIVERSITY BLVD N",
            "address_2": "HSB SUITE 1200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-460-7681",
            "fax_number": "251-414-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 UNIVERSITY BLVD N",
            "address_2": "HSB SUITE 1200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-460-7681",
            "fax_number": "251-414-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLADANIEC",
        "first_name": "DARIUSZ",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "27574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE CHAMPUS",
            "identifier": "630477348036",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-STUDENT HLTH",
            "identifier": "51537385",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.