Active NPI
John Kimy Demian Guirguis, M.D.
- Nephrology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 48579
- Practice address
- 124 S University Blvd Ste a
Mobile, AL 36608-3078 - Phone
- (251) 343-5004
- Fax
- (251) 343-8383
- NPI assigned
- Apr 10, 2014
- Last updated
- Dec 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | 57.024042 | OH | |
| Nephrology Physician | 207RN0300X | 55563 | KY | |
| Nephrology Physician | 207RN0300X | 48579 | AL | Primary |
Addresses
Primary practice location
124 S University Blvd Ste a
Mobile, AL 36608-3078
Mailing address
720 2ND Ave Ste 201
Bowling Green, KY 42101-1778
Phone (270) 843-5114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55563 | Other | KY | KENTUCKY LICENSE |
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
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
124 S University Blvd
Suite a
Mobile, AL 36608-3078
124 S University Blvd a
Mobile, AL 36608-3078
Phone (251) 343-5004
1551 Old Shell Rd
Mobile, AL 36604-1354
Phone (251) 433-1180
3250 Airport Blvd
Suite C
Mobile, AL 36606-3800
Phone (251) 343-5004
676 S Alabama Ave
Monroeville, AL 36460-2536
Phone (251) 343-5004
Hospital & facility affiliations
- FMC South Mobile
- Mobile Infirmary Medical Center
- Springhill Medical Center
- USA Health HCA Providence Hospital, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 88.81
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.024042 | OH | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Vascular Labs LLC | Nephrology | Current | Accepting new patients |
| Nephrology Associates of Mobile, P.a. | Current | Accepting new patients | |
| Jay Tomes Davis, MD, Obstetrics & Gynecology PSC | Past | Accepting new patients |
Locations
1217 Government St
Mobile, AL 36604
Phone (251) 434-8183
124 S University Blvd
Ste A
Mobile, AL 36608
Phone (251) 342-5053
124 S University Blvd
Ste B
Mobile, AL 36608
Phone (251) 304-0157
1551 Old Shell Rd
Mobile, AL 36604
Phone (251) 410-8272
Interoperability endpoints
- jguirguis65728@direct.acumenmd.com
- john.guirguis.p213@direct.aac.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Mobile, AL
- NPI 1124354501
-
- Specialist
- Mobile, AL
- NPI 1861477507
-
dba Jay T. Davis, M.D., PSC
- Obstetrics & Gynecology Physician
- Bowling Green, KY
- NPI 1255498648
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1972922466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 2ND AVE STE 201",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011778",
"telephone_number": "270-843-5114",
"fax_number": "270-745-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S UNIVERSITY BLVD STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083078",
"telephone_number": "251-343-5004",
"fax_number": "251-343-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIRGUIS",
"first_name": "JOHN",
"middle_name": "KIMY DEMIAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-10",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "OH",
"license": "57.024042",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "55563",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "AL",
"license": "48579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY LICENSE",
"identifier": "55563",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.