Individual provider Active NPI

Stephanie Beatrous Walsh, M.D.

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1972706372
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
29213 Issued in AL
Practice address
2000 6TH Ave S
Suite 3Rd Floor
Birmingham, AL 35233-2110
Phone
(205) 996-7546
Fax
(205) 934-5766
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 29213 AL Primary

Addresses

Primary practice location

2000 6TH Ave S
Suite 3Rd Floor
Birmingham, AL 35233-2110

Mailing address

1530 3Rd Ave S
Efh 414
Birmingham, AL 35294-0009
Phone (205) 934-5188

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
I20130215000442 AL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8224282454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Dermatology Associates, PCGroup PAC ID 4385633908, 11 clinicians

Practice addresses (Care Compare)

4410 Watermelon Rd
Northport, AL 35473-5204
Phone (205) 345-1520

Merit-based Incentive Payment System (MIPS)

Final score
93.04 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision63
Removal of skin lesions105
Removal of skin cancer632
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29213ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2013 Accepting new patients
Alabama Dermatology Associates, PC CurrentSince Aug 2, 2014 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2000 6th Ave S
Ste 3RD
Birmingham, AL 35233
Phone (205) 996-7546

4410 Watermelon Rd
Northport, AL 35473
Phone (205) 345-1520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1972706372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 3RD AVE S",
            "address_2": "EFH 414",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940009",
            "telephone_number": "205-934-5188",
            "fax_number": "205-934-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 6TH AVE S",
            "address_2": "SUITE 3RD FLOOR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352332110",
            "telephone_number": "205-996-7546",
            "fax_number": "205-934-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "STEPHANIE",
        "middle_name": "BEATROUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "29213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.