Individual provider Active NPI

John Kimy Demian Guirguis, M.D.

  • Nephrology Physician
  • Mobile, AL
National Provider Identifier
1972922466
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
48579 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
55563OtherKYKENTUCKY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529000890 AL Practitioner - Nephrology 9133452634 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Mobile, P.a.Group PAC ID 8729061668, 41 clinicians
Mobile Vascular Labs LLCGroup PAC ID 0143361519, 4 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.024042OHMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Vascular Labs LLC Nephrology CurrentSince May 1, 2025 Accepting new patients
Nephrology Associates of Mobile, P.a. CurrentSince Jun 1, 2024 Accepting new patients
Jay Tomes Davis, MD, Obstetrics & Gynecology PSC PastSince Jul 26, 2021 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

  • Direct secure messaging: jguirguis65728@direct.acumenmd.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.