Active NPI
Roger D Smalligan, MD, MPH
- Internal Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.35626
- Practice address
- 301 Governors Dr SW
Huntsville, AL 35801-5123 - Phone
- (256) 536-5511
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD21385 | TN | |
| Internal Medicine Physician | 207R00000X | N4758 | TX | |
| Pediatrics Physician | 208000000X | 21385 | TN | |
| Pediatrics Physician | 208000000X | N4758 | TX | |
| Internal Medicine Physician | 207R00000X | MD.35626 | AL | Primary |
Addresses
Primary practice location
301 Governors Dr SW
Huntsville, AL 35801-5123
Mailing address
1400 Wallace Blvd
Attn: Credentialing Dept.
Amarillo, TX 79106-1708
Phone (806) 354-5585
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200263280 A | Medicaid | OK | |
| 4086850 | Medicaid | TN | |
| 205346401 | Medicaid | TX | |
| 205346403 | Other | TX | MEDICAID - CSHCN |
| 40572889 | Medicaid | NM | |
| 205346402 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Johns Hopkins University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Govenors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21385 | TN | MD | Internal Medicine Physician |
| 21385 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Valley Foundation | Current | Accepting new patients | |
| City of Amarillo | Current | Accepting new patients | |
| The Health Care Authority of the City of Huntsville | Past | Accepting new patients | |
| Medical Education Assistance Corporation | Internal Medicine | Past | Accepting new patients |
Locations
301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511
Interoperability endpoints
- rogersmalligan@uab.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Huntsville, AL
- NPI 1952315681
-
dba Amarillo Public Health
- Public Health or Welfare Agency
- Amarillo, TX
- NPI 1427303973
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
-
dba ETSU Physicians and Associates
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Health Care Authority of the City of Huntsville
- Community Based Hospice Care Agency
- Huntsville, AL
- NPI 1427571157
-
dba Huntsville Hospital
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1972591782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"address_2": "ATTN: CREDENTIALING DEPT.",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "806-354-5585",
"fax_number": "806-356-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GOVERNORS DR SW",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358015123",
"telephone_number": "256-536-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLIGAN",
"first_name": "ROGER",
"middle_name": "D",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD21385",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N4758",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "21385",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4758",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "MD.35626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200263280 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4086850",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205346401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID - CSHCN",
"identifier": "205346403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40572889",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205346402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.